membership

(Membership runs yearly from January 1st through December 31st)

 

Brewster Sugar Creek Twp. Historical Society & Museum

Membership Application Year 2010

 

Name____________________________________________

Address__________________________________________ Zip_______

Telephone________________________________________

 

___Individual Person $15.00

___Senior Citizen (62 Yrs. and older) $10.00

___Family $20.00

___Patron, Corporation, Institution or Association $40.00

 

Capital improvement account in addition to membership $_______________

 

Make check or money order payable to:

Brewstwer Sugar Creek Twp. Historical Society,

45 South Wabash Ave., Brewster, Ohio 44613

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