Print this form and mail your tax-deductible membership contributions to The St. Vrain Historical Society

The St. Vrain Historical Society, Inc.  
P.O. Box 705
Longmont, CO 805
02-0705


Enclosed is my tax-deductible membership contribution for 2008.

 

Name_________________________________________________________________________________   

Addres
s_______________________________________________________________________________ 

City ______________
_____________ State ______Zip_________Phone__________________________  

____ Individual ($25) ____ Senior/Student ($18) ____ Family ($35) ____ Supporting ($125)

               

I would like to help with:

   ____ Old Mill Park          ____Old St. Stephen’s         ____ Hoverhome              ____ Hover Farmstead

   ____ Pioneer Days          ____ Antique Shows            ____ Programs & Tours _____ Oral History

 

 


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