(Print this form, fill it out, then mail it (with Check or M.O.) to the below address) ==================================================

You  Can  Belong to the Historical Society! Memberships dues, Lifetime memberships, and donations provide necessary maintenance of the Essley-Noble Museum complex. Memberships:     (   )  Annual Membership Fee - $15.00        (one household) (   )  Lifetime Membership Fee- $300.00 (   )  Corporate/Business Membership Fee- $100.00                           Name_____________________                         Address____________________                         City_______________________                         State_______________________                         Zip_________________________                         Phone______________________   Mail to:                           MCHS Membership Chairman/FONT>                         PO Box 269                         Aledo   IL  61231

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