North Clark Historical Museum

Membership


Print out this Membership Application Form

Name _________________________________________

Address _____________________________________

City & Zip ___________________________________

Phone ______________________________________

Email______________________________________

(   ) Regular - $10 (   ) Supporting - $50
(   ) Contributing - $25 (   ) Patron - $100
(   ) Benefactor - $500 (   ) Honored Donor - $1,000  +
(   ) Donation $___________

Designate: ( ) Individual. ( ) Family (those living in the same household).
( ) Business. ( ) Organization.

Annual dues renewable in July. Members receive museum newsletter. Regular meetings are held at the museum, 2nd and 4th Thursdays at 7 p.m. (Meetings are not scheduled for holidays.) Phone 360.247.5800

Make checks payable to North Clark Historical Museum and mail to:
North Clark Historical Museum
P.O. Box 296
Amboy, WA 98601