Tel: 563-242-1201| Mail: clintoncomuseum@gmail.com


MEMBERSHIP APPLICATION FOR THE CLINTON COUNTY HISORICAL SOCIETY MUSEUM

You can also BUY A BRICK to support efforts at the St. Irenaeus Cultural Center.

Your membership will help cover costs at the museum allowing us to continue to display all the wonderful aspects of Clinton County history. It is only with your membership that we can continue to thrive and grow!

All members receive a monthly newsletter.

You should be able to print up this page by hitting print or CTRL-P or you can cut and paste it to a word-processing document and print it out that way.


Membership Application

I would like to become a member of the Clinton County Historical Society or re-new my membership.


My choice for membership is:

INDIVIDUAL

  $10.00

FAMILY

  $15.00

SUPPORTING

  $25.00

PATRON

  $100.00

 

Enclosed is my contribution to help pay for additional expenses at the Clinton County Historical Society.  $ ____________

Please sign here:  _____________________________________________

NAME: (Printed) _____________________________________________

ADDRESS: __________________________________________________

CITY: ___________________________ STATE: _____ ZIP: ___________

EMAIL ADDRESS: ____________________________________________

PLEASE SEND ORDER AND MAKE CHECK PAYABLE TO:

St. Irenaeus Cultural Center 
P. O. Box 2435
Clinton, IA 52732

PAYMENT MUST BE RECEIVED WITH YOUR ORDER.

THANK YOU!!!