NORTH MANCHESTER HISTORICAL SOCIETY
MEMBERSHIP FORM FOR THE CURRENT YEAR
Join Now/Renew Now...

 

NAME _________________________________________

ADDRESS _______________________________________

_______________________________________________

CITY ___________________________________________

STATE______________________  ZIP __________________

E-MAIL ________________________________________

PHONE ________________________________________

Yes, I would like to become a member of the
North Manchester Historical Society at the following level:

Kind of Membership (1 year):

    Individual Membership…………………………………………..              $ 30.00

    Couples Membership………………………………………………              $ 50.00

    Family Membership………………………………………………..               $ 60.00

    Grandparents Membership……………………………………..             $ 60.00

    Sustaining Membership………………………………………....              $ 75.00

    Supporting Membership……………………………………….                $100.00

    1 year newsletter only………………………………………….                  $ 20.00

    GIFT TO SUPPORT: In addition to membership, I would like to give a
donation of $ ______________________ toward:

                               

                         ________  Facade Restoration Fund


________ Center for History


________ Thomas Marshall House

________ Endowment

________ Other (Please specify: ______________________________________________

Dues are valid from Jan 1 to Dec 31. Membership includes a newsletter
subscription, free admission to the N.M. Center for History, 10% gift
shop discounts and other benefits. Thank you for your support!


Make checks payable to North Manchester Historical Society, Inc.

P.O. Box 361, North Manchester, Indiana 46962

Thank you!