Westside Square, Mansfield, Missouri Mansfield Area Historical Society & Museum, Inc.

Membership Application

Printable Form


Date
Name
Address
City
State
Zip
Phone
Email
Regular Membership *
Student Membership **
Lifetime Membership ***
Exchange Membership ****
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Dues run from July 1 to June 30
of each year and shall not be pro-rated.

Please make checks payable to M.A.H.S.M
Mail membership check to:
M.A.H.S.M.
P.O. Box 374
Mansfield, MO 65704

Membership Level
* Regular ($12 per year)
* Student (Free while attending school)
* Lifetime ($120 payable in 1 lump sum or in 4 quarterly payments of $30 each)
* Exchange (Free to a person from another like Society as long as membership is reciprocal)