Membership Application and Donation Card

The Copper Range Historical Society

Membership Application and Donation Card

Please click here to download and 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 ________________________________________

City, State Zip____________________________________

Individual Membership $10.00/yr

Family Membership $15.00/yr

Supporting Membership $50.00/yr

Senior Life Member $75.00

Life Membership $100.00

Corporate Sponsor $1,000.00

New Member

Renewal

Donation Amount $

Please make checks payable to:

The Copper Range Historical Society

Thank you.