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

____ Krape   $150.00

____Lincoln   $250.00

____Taylor   $500.00

Name:                                                                                                                                                 

Address:                                                                                                                                             

City/State/Zip:                                                                                                                                   

Phone: ______________________________            E-mail:                                                            

Credit Card Purchase: We accept VISA® and MASTER CARD®*

 

Credit Card owner as it appears on the credit card:                                                                                                  

Credit Card number:                                                               Expiration Date:                      CVV2 #                     

                                                                                                                                                                                                 (Backside, under signature)

 

Signature of the Credit Card owner:                                                                                                                         

*SCHS Credit Card Policy: 1) We do not retain credit card information in our files—once shipped, we will destroy your credit card number ; and  2) Your credit card will not be billed until we ship your order.

Thank You!                                                                                     Click here to return to Society information page