Membership Application

Flat River Historical Society
P.O. Box 188
Greenville, Mi 48838 (616) 754-5296

APPLICATION FOR NEW or RENEWAL MEMBERSHIP                                           

Name: _____________________________________________

Address: ___________________________________________

City, State Zip: _____________________________________

e-mail: _____________________________________________

Phone: ___________________________________________

Logmarks will be e-mailed unless checked  (  )

Single $15: _______

Family $25: _______

Business $35: _____

Donation: ___________  

Would you like to be a volunteer?