HARRISBURG-TROY HISTORICAL SOCIETY, INC.
MEMBERSHIP APPLICATION FORM
Name(s):
Address: Phone:
City: State: Zip: E-mail:
lndividual $20.00 Contributing $50.00 Patron $500.00
Family $35.00 Sponsor $100.00 Benefactor $1,000.00
Membership Amount $ _________________
Additional Contribution: In Honor Of______________________________________
In Memory Of____________________________________
Additional Contribution $________________
Total Amount $________________
For questions about your membership, contact
Sandy Schlender, Membership Chairperson
schlenders@hotmail.com
608-643-4236
Please make your check payable to:
Harrisburg-Troy Historical Society, Inc.
and mail to:
Kathy Lohr
E7905 Lohr Road
Sauk City, WI 53583
Volunteer Opportunities: Please let us know if you are interested in helping with any of the projects below by placing a check mark on the line.
Thank you!
Building/Grounds
Furnishing Donations
Housekeeping
Open House/Greeters
Cow Chip Food Stand Help
Summer Picnic
____ Silent Auction Help
Light Up The School
rev 7/16/15
MEMBERSHIP APPLICATION FORM
Name(s):
Address: Phone:
City: State: Zip: E-mail:
lndividual $20.00 Contributing $50.00 Patron $500.00
Family $35.00 Sponsor $100.00 Benefactor $1,000.00
Membership Amount $ _________________
Additional Contribution: In Honor Of______________________________________
In Memory Of____________________________________
Additional Contribution $________________
Total Amount $________________
For questions about your membership, contact
Sandy Schlender, Membership Chairperson
schlenders@hotmail.com
608-643-4236
Please make your check payable to:
Harrisburg-Troy Historical Society, Inc.
and mail to:
Kathy Lohr
E7905 Lohr Road
Sauk City, WI 53583
Volunteer Opportunities: Please let us know if you are interested in helping with any of the projects below by placing a check mark on the line.
Thank you!
Building/Grounds
Furnishing Donations
Housekeeping
Open House/Greeters
Cow Chip Food Stand Help
Summer Picnic
____ Silent Auction Help
Light Up The School
rev 7/16/15
