Washington County Historical Society
Membership Form 2010

Supporting the work of the Society is easy - just print this form, fill it out, and mail it with a check to:

Washington County Historical Society
P.O. Box 167
Stillwater MN 55082

Write checks to "Washington County Historical Society". All annual memberships are due for renewal January 1 of each year.

Name ______________________________________
Address ______________________________________
  ______________________________________
Telephone ______________________________________
E-mail address ______________________________________

Please choose a membership level...

Membership level Cost  
Regular $15 _____________
Family $25 _____________
Student $10 _____________
Senior/Limited Income $10 _____________
Patron $50 _____________
Sustaining $100 _____________
Business/Organization $100 _____________
Life $500 _____________

Thank you!

Please call us with any questions at (651) 439-5956, or e-mail us at [email protected].