Print, complete and mail this Membership form with your payment to the Society.
New or Renew Membership
Name: _____________________________________________________________________
Address: ___________________________________________________________________
City / State / Zip: _____________________________________________________________
Phone: _____________________ Membership Type: ________________________________
Email Address: ______________________________________________________________
If a gift, name of sponsoring member: __________________________________________
I value the work of the Wisconsin Marine Historical Society and I would like
to make a tax
deductible contribution to the Society in the Amount of:
$__________________________________________________________________________
deductible contribution to the Society in the Amount of:
$__________________________________________________________________________
VISA or Master Card #: ________________________________________________________
Expiration Date: __________________ Total Amount: ________________________________
Signature: ___________________________________________________________________
Please make check payable to the Wisconsin marine Historical Society