ARLINGTON HEIGHTS
HISTORICAL SOCIETY
Membership Application
Help us continue to preserve our heritage.
| Name: | |||
| Address: | |||
| City: | State: Zip: | ||
| Home Phone: | Business Phone: | ||
| Fax: | Email: | ||
| Membership type, please check one. |
Please complete the form, print, and mail with your payment. |
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Individual ($20)
Family ($40) Non-Profit organization ($75) Patron ($100) Individual Life ($500) Business Membership Application |
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Mailing Address: Arlington Heights Historical Society Attention: Membership 110 West Fremont Street Arlington Heights, IL 60004-5953 Phone: 847-255-1225 |
| Membership Level Amount | $ | ||
| I added a charitable contribution of | $ | ||
| Total amount enclosed | $ | ||
| Payment | |||
| Check | (Please make checks payable to the Arlington Heights Historical Society) | ||
| Credit | Visa Mastercard | ||
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Name as it appears on credit card |
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| Account Number Expiration Date | |||
| Signature _________________________________ | |||
| Employer Offers Matching Grant Many employers will match an employee's contribution to nonprofit organizations in the community. Please check with your human resources department to see if your employer has such a program. |
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| Volunteering | |||
| Please contact me about volunteer opportunities. | |||
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Memberships are renewed on an annual basis are are tax-deductible to the extent allowed by law. The Arlington Heights Historical Society is a 501(c)(3) non-profit organization. |
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