NAME:
Membership Application - Email Renewal Form
Montgomery County Historical Society
ADDRESS:
PHONE:
EMAIL:
Please Check type of Membershsip below
(Membership period is January to December)
(K-12)
(2 Years)
If mailing Application,
please make checks payable to MCHS
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$20    Individual
$250  Corporate
$30    Family
$500  Institutional
$5       Student
$2,000 Preservation Society
$200   Life
  New Member
  Renewal Member
  Changing Membership