MOCLIPS-BY-THE-SEA Historical Society and Museum

MEMBERSHIP APPLICATION

  Business Name  
  User Name 1  
  User Name 2  
  Mailing Address  
  City State Zip  
  Telephone  
  Email  
  >>>>>>>>>>> Will you be able to attend meetings?
    Are you interested in joining a committee?
    Membership Finance Planning  
  Check one or more >>>>>>>> Advertising Art Research  
Archives Program Interview/Writing
Comments
If you have 2 new members with different committee preferences, add in comments above.

Membership Dues Schedule

(check one)
Individual - $20.00/per year  
Couples $30.00/per year (1 vote) $40.00 per year (2 votes)  
Business/Corporate $35.00 per year  
Contributing Individual or Business $40.00+ per year  

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You may mail in a check.