2011 MEMBERSHIP APPLICATION
To become a member of the Brownsville Historical Society, please print this page, complete the form below and mail it along with your check or money order for membership fee to:
BROWNSVILLE HISTORIC SOCIETY
BOX 24
BROWNSVILLE, PA 15417
ATTN: MEMBERSHIP
FIRST/LAST NAME:______________________________________________________________________
ADDRESS:______________________________________________________________________________
CITY:________________________________________________STATE:________ZIP:________________
PHONE NUMBER:_______________________________________
EMAIL ADDRESS:________________________________________________________________________
MY OCCUPATION IS:_____________________________________________________________________
I am a NEW MEMBER _____ RENEWING A MEMBERSHIP _____ giving a GIFT MEMBERSHIP _____
YEARLY MEMBERSHIP TYPE:
(Make checks payable to BROWNSVILLE HISTORICAL SOCIETY)
Annual Individual Membership ($10.00) _____
Annual Family Membership ($15.00) _____
I would like to volunteer as a TOUR GUIDE: YES_____ NO_____
I am willing to give time to the Society: YES_____ NO_____
I am interested in volunteering for one of the following committees:
_____Archives-Curatorical _____Membership _____By-Laws _____Nominating
_____Castle _____Special Events _____Gift Shop _____Publications
_____Special Events _____Maintenance _____Finance _____Program
_____Landscaping-Garden
