Membership dues: Yearly: Personal $5.00 per person, Business $25.00, Lifetime $100.
Please make checks payable to Union Historical Society and mail to the address above.
You may include this filled out form or send a check and designate whether the funds are for
membership in the society or a donation. Be sure to include your name and address.
Name: _____________________________________________________________________
Street: _____________________________________________________________________
City: ____________________________State: ____________ Zipcode: __________-______
(optional) email: ________________________________ Telephone: (_____)____-_________
Amount enclosed: _______________________________
Please check which is appropriate: Dues _____ Donation _____ Both _____
The Union Historical Society has monthly meetings, except in January and February, with varied and
interesting programs. There are also workdays in which members can help support the various activities
of the society. Two of prime importance are building maintenance and archiving. If you have an interest
in donating time with friendly people on worthwhile activities, please indicate how you would like to
help.