Fulton County Historical Society

Annual Membership Form

 

Name _________________________________________________________________________________

 

Address _______________________________________________________________________________

 

City __________________________________________ State _______________  Zip Code ___________

 

Phone _____________________________ E-mail _____________________________________________

 

If above is a gift membership, then the gift is from:

 

Name _________________________________________________________________________________

 

Address _______________________________________________________________________________

 

City __________________________________________ State _______________  Zip Code ___________

 

Phone _____________________________ E-mail _____________________________________________

 

_________  Check here if paid online by PayPal or credit card.

 

Membership Categories: (check one)

 

Historian ($1,000) ____

Includes name listed on all Educational Programs and a plaque at the Fair and Museum for year

Admits 2 adults and children in immediate family under 18 to all sites

Name appears in quarterly newsletter and annual banquet program

 

Council Oak ($500) ____

Includes name Listed on a plaque at the Fair and Museum for year

Admits 2 adults and children in immediate family under 18 to all sites

Name appears in quarterly newsletter and annual banquet program

 

Pioneer ($250) ____

Admits 2 adults and children in immediate family under 18 to all sites

Name appears in quarterly newsletter and annual banquet program

 

Native ($100) ____

Admits 2 adults and children in immediate family under 18 to all sites

Name appears in annual banquet program

 

Patriot (Couple/Family) ($30) ____

Admits 2 adults and children in immediate family under 18 to all sites

 

Patriot (Individual) ($25) ____

Admits 1 individual to all sites

 

NOTE: The Following discounts may be applied to annual memberships:

 

  • Senior Couples (minus $10 per couple) = $20 ____

  • Senior Individual or Students/Children (minus $10 each) = $15 ____

 

 

     Make Checks payable to Fulton County Historical Society

C/O Memberships

P.O. Box 104

Wauseon, Ohio 43567

 

 

Questions? Call: (419) 337-7922 or

E-MAIL: museum@fultoncountyhs.org