I am pleased to support the Douglas County Historical Society with my annual membership.
(circle one)
|
Vintage (Individual) |
$15.00 |
|
Antique (Family) |
$30.00 |
|
Victorian |
$50.00 |
|
Colonial |
$100.00 |
Name:__________________________________________________________________
Address:________________________________________________________________
Phone Number:___________________________________________________________
Email:__________________________________________________________________
Additional Contribution $____________________