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