GREENFIELD HISTORICAL SOCIETY
MEMBERSHIP APPLICATION

   

NAME:__________________________________________________________________________________________________
ADDRESS:______________________________________________________________________________________________
CITY:__________________________________________________ STATE:__________ ZIP CODE:___________________
TELEPHONE (DAY):_______________________________ (EVENING)_______________________________

  

ANNUAL MEMBERSHIP LEVELS (Check one):

 Individual, $10.00

Family, $20.00

Organization & Business, $25.00    Corporate, $125.00

Life Membership (Individual), $100.00        Life Membership (Including Immediate Family), $150.00

 

Print out & Complete form, and return with your remittance to the:
GREENFIELD HISTORICAL SOCIETY     103 McArthur Way     Greenfield, Ohio 45123

   

Courtesy of www.greenfield-ohio.com.