If you would like to join, please print the form below and send it to us.

GARFIELD HEIGHTS HISTORICAL SOCIETY

ANNUAL MEMBERSHIP DUES

NAME:                   _____________________________________________________________

ADDRESS:             _____________________________________________________________

                                               _____________________________________________________________

 HOME PHONE:     (______)________________        OTHER #:  (______)________________

              BIRTHDAY (MONTH AND DATE ONLY)________________________________________

              ENCLOSED IS $10.00 MEMBERSHIP DUES ----FOR THE YEAR____________________

              PLEASE MAKE CHECKS PAYABLE TO:

              MAIL TO:                    GARFIELD HEIGHTS HISTORICAL SOCIETY

5405 Turney Road, Garfield Heights, OH 44125

            *************************************************************************************

AMT. REC’D $_________  DATE REC’D________________ DATE CARD SENT______________