ICHS MEMBERSHIP APPLICATION

Membership extends from May 1 through April 30
 

Complete and send, along with your payment to:

         IOWA COUNTY HISTORICAL SOCIETY, Millersburg, IA  52301

 

Name___________________________________________________________________

 

Mailing Address __________________________________________________________

 

City ______________________     State __________________   Zip ______________

 

   _____ Individual @ $10         ______ Family @ $15         ______ Supporter @ $25