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Membership Application
Type of Membership
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Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
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Email
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Secondary Member Name (for Patron Level or higher)
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My Products
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Basic Member
10% off Gift Shop
$
35.00
Quantity
1
2
3
4
5
6
7
8
9
10
Friend
All Basic Member benefits + Event Discounts, Free Copy of Historical Essays of Champaign County.
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Patron
All Friend benefits + Invitation to History on the Town Member Appreciation Event
$
100.00
Quantity
1
2
3
4
5
6
7
8
9
10
Historian
All Patron benefits + Free Holiday Ornament
$
250.00
Quantity
1
2
3
4
5
6
7
8
9
10
Curator
All Historian benefits + Private tour of the museum
$
500.00
Quantity
1
2
3
4
5
6
7
8
9
10
Cattle Bank Society
All Curator benefits + Special Recognition
$
1,000.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
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