Stephenson County Historical Society Membership Form

Make it Your Historical Society!
If you're not yet a member of the Historical Society, here's your chance!
The membership year is April 1st through March 31st, although you can become a member at any time.  Historical Society members receive free admission to the Museum, a newsletter, a 10% discount in the Gift Shop and special invitations to Members-Only events.

To join, please print out and return this form with a check made to "Stephenson County Historical Society" to:

Stephenson County Historical Society
1440 S. Carroll Avenue
Freeport, IL 61032

This is a: (Check one)

____New Membership

____Renewal Membership

____Gift Membership from:___________________________________________

____Donation

Level of Membership:

____Student  $10.00 ____Individual   $20.00 ____Family   $30.00 ____Tutty   $50.00
____Addams   $100.00 ____Lincoln   $250.00 ____Taylor   $500.00

Name:________________________________________________________

Address:_______________________________________________________

_____________________________________________________________

Phone:_______________________________________________________

____Please send a membership card

____No membership card is necessary

(Your renewal date and membership level will show on your newsletter mailing label)

Thank You!

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