Membership Form
LaSalle County Historical Society
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Membership type:
*
Individual ($25 a year)
Family ($30 a year)
Non-Profit ($50 a year)
For Profit Business ($100 a year)
Lifetime ($250 one time charge)
Historian ($500 one time charge)
Benefactor ($1000 one time charge)
You will be invoiced for your membership via email, would you like to be invoiced yearly to upkeep your membership? (This does not apply for Lifetime/Historian/Benefactor)
*
Yes
No
Not applicable (Lifetime, Historian, or Benefactor)
How would you like to receive your quarterly newsletter?
*
Mailed via USPS
Emailed
Both mail and email
Volunteer Opportunities: Please mark the areas in which you may be interested in volunteering for.
Burgoo (Columbus Day Weekend)
Events/Fundraising
Barn/Blacksmith Shop
Docent/Special Projects
School Program (Spring months, during week)
Collections/Library
Collections Digitization
Other
We would love to hear your areas of interest or expertise! Please let us know what local history interests you the most.
Submit
Should be Empty: