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Business Membership Application

Name (Only A-Za-z .,'- allowed.): *required


Email: *required


Phone:


Address Line 1 (Only a-zA-Z0-9.,-' allowed.):


Address Line 2 (Only a-zA-Z0-9.,-' allowed.):


City (Only A-Za-z.,'- allowed.):


State (Only letters allowed.):


Zip Code (Only numbers and hyphen allowed.):


Select Membership Level:
Level I ($50 - $99)

 * Letter from the President
 * Certificate of Sponsorship (ready to frame)
 * Listing in the inside last page of the annual Bulletin
 * Listing in the quarterly Newsletter
 * Recognition on the Society Web site


Level II ($100 - $199)

 * Letter from the President
 * Certificate of Sponsorship (ready to frame)
 * Listing in the inside last page of annual Bulletin
 * Listing in the quarterly Newsletter
 * Recognition on the Society website
 * One (1) free 8”x10” print from Image Collection


Level III ($200 and above)

 * Letter from the President
 * Certificate of Sponsorship (ready to frame)
 * Listing in the inside last page of annual Bulletin, with company logo
 * Listing in the quarterly Newsletter, with logo
 * Recognition on the Society website and Facebook page, with logo
 * Two (2) free 8”x10” prints from Image Collection
 * Two (2) free tickets to annual meeting/dinner
 * Research Report on historical location of Business/Building and history of Business in the community


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By clicking on the button below you will be redirected to a form verification and error-checking page from which you can then submit the application to the Historical Society.