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Membership Application
(Use Print button on your browser to print this form)
Yes,
I want to help the Iosco County Historical Museum
Name____________________________________________________________
Address_________________________________________________________
City_______________________________
State____ Zip_______________
Telephone (____) ______________ Year-Round Resident
Yes___ No___
E-Mail
_________________________________________________________
Check
Membership Desired
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______Individual |
$10.00 |
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______Family |
$12.00 |
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______Senior (65+) |
$8.00 |
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______Sustaining |
$25.00 |
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______Business |
$25.00 |
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______Patron |
$50.00 |
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______Benefactor |
$100.00 |
I enclose my tax deductible contribution of: $___________
______New Member ______Renewal
A membership card will be sent to you
Make check payable to:
Iosco County Historical Society
405 W. Bay St.
East Tawas, MI 48730
(989) 362-8911
| I have the following interests and can help the Historical Society in
the following areas: (Please check all that apply) |
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Volunteer (Participative support for events and museum hours) |
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Be an
event chairman |
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Fundraising |
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Building and grounds maintenance |
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Be a
member of the Historical Review team |
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Set up
and maintain display cases |
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Artifact research |
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Genealogy Research |
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Community Relations |
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Additionally, I have skills in the following areas (Please check all that apply) |
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Computer skills (Databases- Word Processing) |
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Inventory Control (Donor files and tagging) |
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Grant/Project Writing |
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Clerical and Office Support (Phone and Message Handling) |
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Society Newsletter Publication |
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Historical Knowledge of Iosco County |
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Other (Please enter below)____________________________________________________________________ |
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______________________ Date of Application
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