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Membership Application

 

The purpose of the Dearborn Historical Society is to foster interest in the History of Dearborn and the surrounding vicinity, and to collect and preserve material, artifacts, and archival material related thereto. It is the aim of the society to give strong support to the Dearborn Historical Commission and the Dearborn Historical Museum. All members receive the DEARBORN HISTORIAN, the quarterly journal of the Commission, a page of which is devoted to Society News. Members are invited to participate in all special events, field trips, and membership meetings.

Last Name: _______________________ First Name:_____________________

Circle one:  Mr.  Mrs.  Ms.  Miss

Spouse's Name:________________________________

Address:_____________________________________

City:______________________________ State:________ Zip:__________

Country:__________________  Phone:_______________

Email Address:______________________________

Membership Category:  (Circle One)

Individual    $10.00

Family        $15.00

Sustaining    $20.00

Make your check payable to:  DEARBORN HISTORICAL SOCIETY

and mail to:             c/o Membership Chairman
                              915 Brady Street
                              Dearborn, MI 48124

If gift membership please indicate from:_______________________________

The Historical Society is a 501(c)(3) non-profit organization.