Humboldt County Historical Association

Make it your Historical Association!

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Membership Form

Membership is from January 1st through December 31st, although you can become a member at any time.

Historical Association members receive free admission to the Museum and a copy of the monthly Association Newsletter.

To join, please print out this form and return it with you check to:

Humboldt County Historical Association
PO Box 162
Humboldt, IA 50548

This is an application for (check one):

____________ New membership

____________ Renewal membership

____________Gift membership from: ________________________________________________

____________Donation

Level of membership:    Individual  $10.00                    Lifetime $200.00

Name:_____________________________________________________________________

Address:___________________________________________________________________

              ___________________________________________________________________

Phone: ___________________________  E-mail __________________________________

______Please send a membership card ________No membership card is necessary

Thank You!

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