Berlin Area Historical Society

MEMBERSHIP APPLICATION

Complete and send this form to:

Berlin Area Historical Society

400 VINE STREET

BERLIN, PA 15530

Your membership includes a subscription to the quarterly MEMOS newsletter.

Annual individual membership                           $ 15.00
Annual husband & wife membership                $  20.00

A lifetime membership is available for            $ 200.00
A lifetime membership for husband and wife $ 300.00

Name ______________________________________________________

Address ____________________________________________________

City ___________________ State _______ Zip ___________

As soon as we receive your completed membership application and dues you will be added to our mailing list for all upcoming members’ events and the quarterly mailing of the MEMOS.