Mendocino County Historical Society

An Invitation to Membership

To: Mendocino County Historical Society, 603 W. Perkins St. Ukiah, CA   95482

NAME: ________________________________________________________________
Address: _______________________________________________________________
Individual _____ @  $30.
Couple _____ @  $40.
Patron _____ @  $100
Life Member _____ @  $300.
Couple Life ______ @  $500.
Enclosed is $_______ for payment of ______ years of membership dues.

  *All dues, contributions and bequests are deductible under state and federal income tax provisions

Please print this form, fill in the necessary information, and mail with your payment to the address above.


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Copyright © 2001 Mendocino County Historical Society