Membership Application Form

Dedicated to restore and preserve Radersburg Montana History

RHPI

Radersburg Historical preservation, inc.

Radersburg Historic Preservation, Inc.

P.O. Box 96      Toston, Mt.  59643

 

www.Radersburg.com

 

DEDICATED TO RESTORE & PRESERVE RADERSBURG MONTANA HISTORY

 

 

Monthly meetings are the 2nd Saturday of every month.

Oct~April 2:00 p.m. May~Sept. 7:00 p.m. in Radersburg at

the Radersburg School Building

 

 

Return bottom section only to address above. 

Make checks to:  Radersburg Historical Preservation, Inc.    

Thank you & Welcome!!!!!

 

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Membership Application    (Please print below)

 

Name(s): ____________________________________________________

 

Address: ____________________________________________________

 

Phone: _____________________ E-mail __________________________

 

Annual Fees:

_ 10.00 individual    _  15.00 family  (Annual fee expires Dec. 31 of yr. pd)

 

OR

 

__ $100.00 for 12 years               __ $150.00 for 12 years

 

Due Amt.$__________    Donation amount $_________    [  ] Cash   [   ] Check #_______

 

Received by: ___________________      Date: ________________    

 

Total Amt. Pd_____________