Membership

PENTWATER HISTORICAL SOCIETY
MEMBERSHIP APPLICATION

	New membership
	Renew membership

Name:
Address:
City:
State:
Zipcode:

Phone:
Email:

Seasonal address:
From:
To:
Address:
City:
State:
Zipcode:

Type of Membership
	Patron - $500*
	Life - $125*
	Sustaining - $40*
	Annual - $10*
	Student - $3
	* Includes spouse

Would you like to participate in society activities? My areas of interests are:

Please verify that your information was entered correctly before submitting your application.

Pentwater Historical Society
P.O. Box 54
Pentwater, Michigan, 49449

This page was last updated 09/05/09