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Vernon County Historical Society
Membership for Jan. 1st - Dec. 31
New___ Renewal___
Name____________________________
Address__________________________
__________________________
Telephone________________________
Check kind of
Membership:
Annual Memberships
___ Individual $15.00
___ Family
$25.00
___ Supporting $50.00
___ Business $50.00
__ Dawson Heritage Club $100.00 /yr.
__Friends of the Sherry-Butt House
___$50.00 ___$75.00 ___$100.00
__Friends of the Foreaker Country School |
Life memberships
___Bronze
$ 250.00
___Silver
$ 500.00
___Gold
$ 1,000.00
___Platinum
$ 5,000.00
___Diamond
$ 10,000.00
___Benefactor over
$ 10,000.00
Make checks payable to:
Vernon County Historical Society
Box 444 Viroqua, WI 54665
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Have you remembered the Vernon
County Historical Society with your
memorials and in your will?
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