The Historical Society of Oak Park and River Forest

Membership

Please print and mail this form along with your dues to our address:

P.O. Box 771 Oak Park, IL 60303-0771

I want to join The Historical Society of Oak Park and River Forest.

Name: ________________________________    Phone: _______________________________

Address: ______________________________________

_____________________________________________

Email: ________________________________________

______ Individual $35         ______ Family $45     ______ Senior/Student $20           

______ $100 Patron            ______ Benefactor $250        ______ Business $75

______ Individual Life $1000          ______ Other $

I want to send a gift membership of $______ to:

Name: ___________________________________   Email: ___________________________________

Address: ______________________________________

_____________________________________________

I want to make a tax-deductible donation to the Historical Society: $______________

My application for a matching gift from my employer is enclosed