Online Membership Form

Membership Request Form

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Membership Plan *

Individual Membership ($15.00) Family Membership ($25.00) Lifetime Membership ($250.00) 150th Special Lifetime Membership ($150)

Please Return Payment to:

Grantsburg Area Historical Society
PO Box 35
Grantsburg, WI 54840

Please be sure to include your name and date of this request with your payment

Become a Member

If you wish to send your payment electronically use the Donate button to the right.