The Copper Range Historical Society

Membership Application and Donation Card

Please print this form out and mail it along with a donation to:

The Copper Range Historical Society

P.O. Box 148

South Range, MI 49963

 

Name __________________________________________

Address __________________________________________

__________________________________________

__________________________________________

Individual Membership $10.00
Family Membership $15.00
Supporting Membership $50.00
Life Membership $150.00
Corporate Sponsor $1,000.00
Corporate Patron $5,000.00
New Member
Renewal
Donation Amount $
Please make checks payable to: The Copper Range Historical Society

Thank you.