Martinez Historical Society

Membership form


Print out and send with check to:
Martinez Historical Society
P.O. Box 14
Martinez, CA 94553

Membership Type

 

 

 

Amount

 

 

 


Student

 

 

 

$10

 

_____

 

 


Individual

 

 

 

$20

 

_____

 

 


Family

 

 

 

$25

 

_____

 

 


Senior

 

 

 

$15

 

_____

 

 


Senior Family

 

 

 

$20

 

_____

 

 


Contributing

 

 

 

$50

 

_____

 

 

Supporting

 

 

 

$75

 

_____

 

 

Patron

 

 

 

$100

 

_____

 

 

Life

 

 

 

$500

 

_____

 

 

Please be sure to fill out the following information:

Name: ______________________________________________

Address: ____________________________________________

____________________________________________________

Phone Number: (____) _____________________

Makes Checks payable to: Martinez Historical Society