FAIRVIEW PARK HISTORICAL SOCIETY MEMBERSHIP FORM
Name ______________________________________________
Address ____________________________________________
___________________________________________________
Phone # ___________________________________________
Email _____________________________________________
Please make checks payable to:
The Fairview Park Historical Society
mail to:
P.O. Box 26165 Fairview Park, OH 44126
Membership :
Student
............
..
..$5.00
Individual
............
....$10.00
Family (2 adults, same address)
.............
...$15.00
Business
...........
.
$25.00
Life Member (Single)
..............$100.00
Life Member (2 adults, same address)
...........
.$150.00
Renewal of Membership _______
New Membership _______
Dues cover: June 1st - May 31st
I would like to make a donation to one of the following, Thank You:
Museum Fund $____________________
Operating Fund $ ___________________