□
$______
is enclosed for 2009
membership.Yes, we wish
to support the Remus Area Historical Society and museum during 2010.
Contact Name______________________________
Would you rather remain anonymous?_______
yes _____
no
Address___________________________________
City/State/Zip______________________________
Phone Number___________________________________ Email Address_______________________________
□
$______
is enclosed for 2009
membership.
($20-individual,
$35-family,
$50-business,
$100-contributing
member or group, $500
-
supporting member or group)
0
In addition, our
donation is: __
$25
___
$100
__
$200 __
$500 $_______
toward the
handicapper ramp.
This gift is made in memory/honor of:______________________
Please mail an acknowledgement to
________________
(name)________________________
(address)
____________________ city/ state/zip.
$__________
TOTAL
enclosed.
MAIL TO: REMUS AREA HISTORICAL SOCIETY, INC., P.O. BOX 71, REMUS,
MICHIGAN 49340