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Clearwater Historical Society Membership Registration Form
Choose one of the following categories:
Student $ 5 Corporate $ 150
Individual $ 20 Life $ 250
Family $ 35 Patron $ 500
Benefactor $ 1000
*Dues are payable annually on November 1. All contributions are tax deductible.*
Print this page, complete the following information, then mail this page and your check to:
Clearwater Historical Society
Clearwater, FL 33757
City___________________________ State______ Zip__________________
The only membership requirement is your interest!
_____I would enjoy serving on a committee.
_____I would be interested in serving on the maintenance committee.
_____I would be glad to be a docent on Saturdays.
_____It would be a great honor to be on the Board of Directors of the Clearwater Historical Society!
_____I have family pictures, papers, etc., that I will give or loan to the Society.