Application for Membership

Marshall County Historical Society & Museum

 

 

Name_________________________________________________

 

Street Address:  _________________________________________

 

City_________________ State_______________Zip+4__________

 

E Mail Address__________________________________________

 

Telephone_____________________________________

 

 

 

Membership Fees:

 

Individual: $15 annual

Family: $25 (1 Household inc Minor children)

Individual Life: $200

Husband & Wife Life: $300

Affiliate annual:

Bronze $25

Silver $50

Gold $100

 

 

Make check or money order payable to:

Marshall County Historical Society

PO Box 123

Lacon, Il 61540-0123