Application for Membership

(Please Print this Form and Mail it to the Society)

If you would like to support the work of the Society by becoming a Member, please fill-out the form below, print it and mail to the Society together with your check for your Annual Dues. Dues are: Individual- $15/year; Family- $20/year; Student- $5/year; Business Membership- $30/year; Nonprofit/Government Membership- $25/year; Website Partner - $250 (lifetime membership and website listing). The Society is a tax-exempt organization so your dues are deductible. Allow four weeks for the delivery of your membership gift, a copy of the Historic St. Charles Road Driving Tour brochure.

To: DuPage County Historical Society

P.O. Box 1460

Wheaton, IL 60189

From: Name: __________________________________________

Street Address: _________________________________________________________

City: ________________________________State: _________Zip: _______________

Here is my check for $__________. Please enroll me/us as members of the DuPage County Historical Society. My membership classification is circled below.

Individual - $15/year

Family - $20/year

Student - $5/year

Business Membership - $30/year

Nonprofit/Government Membership - $25/year

Website Partner - $250 (lifetime membership and website listing)

Date: ________________

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