MEMBERSHIP APPLICATION

Fees effective January 1, 2007
Membership year is calendar year.

Individual Student (under 18 years, $2.50) _________     Individual Active ($10.00) _________

Individual Sustaining ($20.00) _________     Individual Patron ($35.00) _________

Business/Corporation ($200 annual fee) _________

Check one of the above and complete the following
if you are interested in becoming a member of the
La Porte County Historical Society, Inc.

Send application along with proper fee to:
La Porte County Historical Society, Inc.,
2405 Indiana Avenue, Suite 1, La Porte, IN 46350.

If you want a membership card, please include a SASE.