Garfield Heights Historical Society

Garfield Heights, Ohio

 

Print and mail or bring this form with you
Membership Form:

 

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

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