Butler County Historical Society

Membership Form

January 1 – December 31, 2012

Please choose your Membership Category

____ Individual - $25                                                        ____ Nancy Cooper Level - $50

____ Family - $40                                                             ____ Senator Walter Lowrie Level - $100

____ Senior Citizen Individual - $20                                ____ Bantam Car Level - $250

____ Senior Citizen Family - $35                                     ____ ARMCO Level - $500

____ Bantam Reconnaissance Car Level - $750               ____ Benefactor Level - $1000

                          Membership includes the newsletter, the holiday catalog, reduced admission fees for programs,

                              and free admission to the Society’s three historic sites, excluding special fundraising events.

Name_______________________________________________________________________________________________________________________________________________

Address____________________________________________________________________________________________________________________________________________

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Telephone__________________________________________________________________________________________________________________________________________

Email_______________________________________________________________________________________________________________

                                      Contributions in excess of standard memberships are fully tax deductible.

Please make your check payable to:    Butler County Historical Society  (BCHS)

And mail with this form to:                    P O Box 414

                                                                Butler, PA  16003-0414

                                                                 Thank You for your support!