1. Print this page
2. Complete the Enrollment Form
3. Send the completed form with your
check or money order to:
WCHA
P.O.
Box 25
Fort
Calhoun, NE 68023
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Invitation to
Membership
Member benefits include a 10% discounts for the museum
store and free personalized tours set
by appointment.
Annual Membership:
$25_____ $50 _____ $100_____
$150_____
$200_____
$250______ Other $________Trailblazers
Annual and cooperate gifts
[ Click here for more information ]
In support of the work of the Washington County Historical
Association, I/we enclose a check in the amount of
$_____________ for my/our 2006 annual membership.
(made
payable to Washington County Historical Association.)
I/we prefer to donate
by credit card: VISA_____ MasterCard _____ Discover
_____
American Express_____
Name:
_________________________________________________________________________
Card Number: _____________________________________ Expiration
Date: _______ / _______
Signature:
_______________________________________________________________________
Address: _________________________________ City/State/Zip
___________________________
Phone: ___________________________
Email address: ________________________________
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