New Berlin Area Historical Society

Exploring the History of Western Sangamon County
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Membership
 
Welcome!!!
 
Thank you for your interest in the New Berlin Area Historical Society!
 
Membership will help those who come after us by helping to preserve our local history. The support we receive from our members makes possible the preservation of the Society's collections of historical photographs, artifacts, and memorabilia from New Berlin and the throughout the surrounding area.  The Society will use these items in exhibits, workshops, publications, and in our public programs to help tell the story of the founding, growth, and present condition of this area. As a member, you receive our newsletters, a 10% discount on the purchase of any and all of our publications, notification of Society meetings and events, and, most importantly, the good feeling that comes from knowing that you are helping in a very real way to preserve the New Berlin Area heritage.
 
 
If you wish, you may print the Membership Form and mail it to the address on the form.
 
 
 

Last Name *
First Name
Address Line 1 *
Address Line 2
City *
State *
ZIP Code *
EMail Address
Phone Number (xxx-xxx-xxxx) (Blank-out if no phone.)
New or Renewal Application?
Individual or Family Membership?
Yearly Dues: Individual $10 Family $15 (Do not enter a Dollar Sign ($). *
Are you interested in Active Participation?
What are your special interests in New Berlin Area History?
I am enclosing a contribution to support the Society’s programs and preservation efforts. Please indicate the amount of your contribution (not including membership):
If Family Membership, please list those family members who will also be Society members. One name per line. Family Member 2:
Family Member 3:
Family Member 4:
Family Member 5:
Family Member 6:

 
* indicates a required field
 
Instructions on mailing your membership check will appear after submitting the form.
Please make your check payable to the New Berlin Area Historical Society.
 
You may also wish to print a copy of this form.
 
 
The New Berlin Area Historical Society is a private not-for-profit corporation
organized pursuant to the laws of the State of Illinois.