2012 Ozaukee County Historical Society Membership

Sign me up!! I’m ready to take my place in history.

Please print this page and  send to:

Ozaukee County Historical Society
PO Box 206
Cedarburg, WI 53012-0206

(If you have already Paid or are a lifetime member – why not pass this form along to a friend!!)

RENEWAL NEW MEMBERSHIP

Name _______________________________________________________

Address _____________________________________________________

City ____________________________ Zip  _________________________

Spouse’s ________________________ Phone _____________________

Number of children in household under age 18 _____

Single $20 Family $40 Business/Professional $75
Individual Lifetime $225 Husband/Wife Lifetime $350

Here's my additional tax-deductible donation for:

Ozaukee County Pioneer Village Restoration, Interurban depot to Interurban Depot Restoration, Archives Research Center.    Stony Hill School Harold Dobberpuhl Memorial Scholarship

Memorial Gift In Memory of  (Specify)  _____________________________________________
 Use where needed most.
 YES! Please call when you need volunteer HELP!

Membership is from January 1st to December 31st.
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