Application Form
Updated - 07/12/2019
NOTE: ADDITIONAL UPDATES OF THIS
PAGE ARE CURRENTLY UNAVAILABLE
PAGE ARE CURRENTLY UNAVAILABLE
Individuals interested in becoming Lifetime Members of the Auburn Area Historical Society are required to complete a brief "Lifetime Membership Application". This simple one-page form only takes a few minutes to complete prior to submitting it to any officer of the A.A.H.S.. This form not only provides the officers of the A.A.H.S. the information needed to contact you if necessary, but also gives them an insight into what historic interests you may have, as well as informing them of any types of activities in which you might be willing to participate. The form is shown below as either a PDF file to be opened or a word document format, but you may have to drag and paste it to a Word document (and possibly reduce the sizing) in order to print it from your computer.
A.A.H.S. Lifetime Membership -
single payment of just $50!
We accept personal checks, money orders or cashier checks made payable to the "Auburn Area Historical Society". We are unable to accept credit or debit cards presently. Please do NOT send cash payments through the U.S. mail. Upon receipt of your membership form and valid payment, you will be mailed a Lifetime Membership Certificate as proof of your membership as well as be included on the lists of Lifetime Members that are located on this website and on site at the Auburn Area Historical Society. You will also receive 10 printed business cards stating that you are a Lifetime Member of the Auburn Area Historical Society.
lifetime_membership_application_form__blank__-_x.docx | |
File Size: | 112 kb |
File Type: | docx |
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Auburn Area Historical Society
P.O. Box 114; 451 Pearson Street; Auburn, PA 17922
www.auburnareahistoricalsociety.weebly.com
Lifetime Membership Application
(Please print legibly)
Auburn Area Historical Society
P.O. Box 114; 451 Pearson Street; Auburn, PA 17922
www.auburnareahistoricalsociety.weebly.com
Lifetime Membership Application
(Please print legibly)
Name (First, Middle Initial, Last): _______________________________
Mailing Address: _______________________________
_______________________________
_______________________________
Telephone Number(s): _______________________________
(Don't forget the area codes) _______________________________
E-Mail Address (if any): _______________________________
List any special historic interests: _______________________________
_______________________________
_______________________________
I am interested in the following form(s) of participation:
Mailing Address: _______________________________
_______________________________
_______________________________
Telephone Number(s): _______________________________
(Don't forget the area codes) _______________________________
E-Mail Address (if any): _______________________________
List any special historic interests: _______________________________
_______________________________
_______________________________
I am interested in the following form(s) of participation:
______
______ ______ ______ ______ ______ ______ ___ |
Assist with creating an annual calendar
Assist w. carpentry/electrical/plumbing Assist with creating a cookbook Assist with creating a yearbook Assist with events and/or fund raisers Assist with writing a monthly newsletter Attend A.A.H.S. meetings Be a guest speaker at A.A.H.S. meetings Be a guest speaker at other functions Create and/or maintain displays Create/research genealogies Distribute/post flyers Interview residents about history Locate and/or obtain memorabilia Locate guest speakers for presentation |
______
______ ______ ______ ______ ______ ______ ___ |
Monitor Open Houses
Photograph objects and/or sites Plan events and/or fund raisers Plan “field trips” to historical sites Prepare and/or preserve memorabilia Proofread documents Pursue historical marker(s) for Auburn Research deeds at county courthouse Research historical facts and information Serve as an A.A.H.S. Officer Solicit donations of materials Solicit donations of memorabilia Solicit donations of money Solicit Memberships Other: ______________________ |
PLEASE INCLUDE YOUR PAYMENT WHEN MAILING THIS MEMBERSHIP FORM. THANK YOU!
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