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:
Business Level I Membership ($50-$99, Item: 014, Price: $50.00)
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
Business Level II Membership ($100-$199, Item: 214, Price: $100.00)
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
Business Level III Membership ($200 and Up, Item: 215, Price: $200.00)
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
How would you prefer the newsletter be delivered to you?
By Email
By Regular Mail
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.
