MEMBERSHIP DUES Please mark your membership preference.

_____ Lifetime $100.00 (per person)

_____ One Year (annual) $10.00

_____ Couples (annual) $20.00

_____ Business (annual) $15.00

Remember that the Lane County Historical Society is a 501 © 3 non-profit organization.

Make checks payable to the Lane County Historical Society and mail to the address above.  Thank You!!!

Your Name:  _________________________________________________________________________

Address _____________________________________________________________________________

City _____________________________State:  _____________ Zip:  ________

Telephone # (                 ) _____________-_________________________

Benefits:  As a member, you will receive the following:

* Quarterly Newsletter

* 10% off regular priced non- consignment items in the museum's gift shop