Butler County Historical Society
Membership Form
January 1 – December 31, 2007
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Please choose your Membership Category ____ Individual - $20 ____ Nancy Cooper Level - $50 ____ Family - $40 ____ Senator Walter Lowrie Level - $100 ____ Senior Citizen Individual - $15 ____ Bantam Car Level - $250 ____ Senior Citizen Family - $35 ____ General Richard Butler Level - $500 Membership includes the newsletter, the holiday catalog, reduced admission fees for programs, and free admission to the Society’s four historic sites, excluding special fundraising events. Name_______________________________________________________________________________________________________________________________________________ Address____________________________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________________________________ Telephone__________________________________________________________________________________________________________________________________________ Email_______________________________________________________________________________________________________________ Contributions in excess of standard memberships are fully tax deductible. Please make your check payable to: Butler County Historical Society (BCHS) And mail with this form to: P O Box 414 Butler, PA 16003-0414 Thank You for your support!
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