Business Membership Application Form

Business Membership Application Form
If you would like to join the De Pere Historical Society, forgot to renew your membership, or would like to send a friend a gift membership, use this form. All members will receive the newsletters regarding families and events in De Pere history and Historical Society news.

Please check one: ¨ $Bronze $50-$99 ¨ $Silver $100 - 249 ¨ $Gold $250 & Up ¨ Check here if this is a new address Mail To: De Pere Historical Society 403 N. Broadway De Pere, WI 54115 (920) 336-3877	This membership is for… Business Name: ______________________________________ Year Started:________________ Contact Person: ______________________________________ Street Address: ______________________________________ ______________________________________ City: __________________________________ State: _______ Zip: _______ Phone: __________________________ Email: ___________________________ Membership Expires: December 31, 2008