Membership/Renewal Application

Membership/Renewal Application

Sibley County Historical Society
Please complete and then choose your submission method at the end of the form.
Which type of Membership*

$20 per year Individual$25 per year Family$50 per year Business
New Membership or Renewal *
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone Number

Area CodePhone Number
And/Or Landline Phone Number

Area CodePhone Number
Email*
example@example.com
How would you like to receive your complimentary newsletter?*
Any special instructions or questions?
You may either submit your form electronically and then mail your payment, or print the form, attach your payment, and mail.

Please make you check payable to:

SCHS

PO Box 407

Henderson MN 56044.
Please verify that you are human*
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