The Walworth County Historical Society 

 

Membership Application
  Please print, complete this form and mail with check made payable to 
Walworth County Historical Society      P O Box 273       Elkhorn, Wisconsin  53121
   I would like to join the Walworth County Historical Society
  Annual Membership.  Membership year is January 1 to December 31 annually
  Type of membership
  Single $15.00 Family $20.00 Contributor $25.00 Supporting $35.00   Patron $50.00      
   Membership Information
  First name  
  Last name  
  Street address  
  City  
  State/Province  
  Zip/Postal Code  
  Country  
  Phone  
  E-mail  
______I would like to be called when volunteers are needed.  My special areas of interest are:  Tour Guide ____ Gardening     _____ Gift Shop Assistant     _____ Carpentry     _____ School House Tours _____Computer skills _________ Other _______________________________
 _____ I would like to serve on the board of directors.

An added benefit of your membership is a reduced rate if your internet provider is ELKNET.   Email them today.

Mail your application and check to:   

Walworth County Historical Society

PO Box 273
Elkhorn, Wisconsin 53121

Back to Walworth County Historical Society Home Page

Updated 3-3-07

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