NMHS Membership Form

NORTH MANCHESTER HISTORICAL SOCIETY
North Manchester, Indiana

Recipient of Indiana Historical Society's Award--"2009 Outstanding Historical Organization" in Indiana
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JOIN NOW or RENEW YOUR NMHS MEMBERSHIP FOR 2012

You may use this form to join or renew membership in the North Manchester Historical Society. Included in your membership is a subscription to the quarterly newsletter for the year 2012. Other activities of the NMHS are operating the Center for History with its extensive collection of over twenty thousand items, holding adult and student educational programs; sponsoring semi-annual historic tours, and doing original historical research for the community and individuals. The NMHS cannot thrive without your membership support!

Membership levels and benefits take effect on January 1, 2012. Go to "Membership" on the left-hand menu for more details.

NAME _____________________________________________
ADDRESS __________________________________________

CITY, STATE, ZIPCODE ______________________________

PHONE/EMAIL _____________________________________

Kind of membership:

INDIVIDUAL (1 Year)
COUPLES
FAMILY
GRANDPARENTS
SUSTAINING
SUPPORTING

   $30
   $50
   $60
   $60
   $75
$100

Dues are valid from January 1 to December 31. Membership includes a subscription to the quarterly Newsletter.

To receive the Newsletter exclusive of NMHS membership, please check below:
1 year newsletter only $20

DONATIONS:

I wish to give $ ____________________________ as a donation toward:

OPERATING EXPENSES
THOMAS MARSHALL HOUSE
MUSEUM
ENDOWMENT
OTHER (Please specify)__________________

North Manchester Historical Society, Inc.
P.O. Box 361
North Manchester, IN 46962