Benton County Historical Society

PO Box 1082   1660 Hilltop

Warsaw, MO 65355

 

(660) 438-2304

www.bencomo.org

 

 

MEMBERSHIP FORM

Name:______________________________________________________________________________________   Home Phone:________________________________

 

Address:___________________________________________________________________________________________  Cell Phone:___________________________

 

City:____________________________________________________________________________________ State:___________ Zip Code:________________________

 

Email Address:_____________________________________________________________________________________________________________________________

 

Please check one choice below, and circle "New" or "Renewal":   

 

______Individual Annual Membership = $10                                 New  or  Renewal

 

______Individual Lifetime Membership = $100                             Today's Date:___________________________________________________

 

Would you like to become a docent/greeter, bake cookies, research historical subjects, provide craft items for the gift shop, donate items for a silent auction, or donate skills e.g. cleaning, painting,woodworking, computer skills, write articles, write grant applications, give a presentation at the meeting?  Get involved!  Let us know what you would like to see or do.

 

Permanent committees are Fund Raising, Membership, Publicity, Historic Sites, Museum Displays, Collections, Cataloging and Signage.

 

Would you be interested in being a volunteer?    ______ Yes            ______ No

 

Please list your areas of historic interest: _________________________________________________

 

_____________________________________________________________________________________

Benton County Historical Society is a 501c(3) organization and all donations are tax deductible.