Membership form

Membership has its rewards...

Please print out the following form, complete the information requested, and mail to:

Yellow Medicine County Historical Society and Museum (YMCHS)
98 Hwy 67 East
Granite Falls, MN 56241

Date:
Name(s):
Street Address:
City:
State:
Zip:
Phone:
Annual Membership Type (individual or family type of memberships):	$10 Individual	$18 Couple
	$25 Family	$100 Sustaining
Individual Lifetime Membership:	$200 Lifetime or above $__________
Annual Corporate Membership:	$25 Bronze	$50 Silver
	$100 Gold	$200 Platinum
	Contribution $__________
Make checks payable to YMCHS	Amount Paid:__________	Check Number:__________