Membership Application
____ Yes, I would like to join the Elmbrook Historical Society! Enclosed are my annual dues extending for 12 months from date of payment.
(Please print how you would like to be listed in the
Elmbrook Historical Society's Directory.)
Name: ____________________________________________________________________
Address: __________________________________________________________________
City: _____________________________ State: ______ Zip Code: _____________________
Telephone: ___________________________ Cell Phone:____________________________
E- mail Address: ____________________________________________________________
Membership Category - Please choose one of the following:
| Level and Fee |
Free admission on all Sunday tours |
Membership includes 2 adults, 3 children ages 6-12, children 5 and under free |
Advertise your business and sponsorship at Special Events and on museum printed materials |
2 free adult AND 3 free kids passes to Special Events (per year) |
4 free adult AND 3 free kids passes to Special Events (per year) |
Special Preview Night at One Special Event (per year) |
8 free adult AND 3 free kids passes to Special Events (per year) |
Lifetime Membership with One-Time Payment |
| Individual $18 |
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| Family $25 |
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| Bronze $50 |
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| Business $75 |
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| Silver $100 |
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| Gold $250 |
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| Platinum $500 |
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| Lifetime $750 |
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I wish to make a donation ________________________
The Elmbrook Historical Society is a non-profit 501 C (3) organization. All donations are tax deductible as defined by law. Financial statements are available upon request. *Some employers match not only their current employees, but also their retirees' contributions to 501c(3) non profit organizations.
Please check with your employer.
There are many ways you can become involved in the Elmbrook Historical Society!
Please check the areas that interest you.
ADMINISTRATIVE
____ Building Maintenance ____ Data Entry ____ Gifts & Bequests ____ Grant Writing
____ Historic Preservation ____ House Maintenance ____ Landscape ____ Mailings
____ Marketing ____ Membership ____ Newsletter ____Publicity ____Rentals
____Strategic Planning ____ Visitor's Center/Gift Shop ____Website
I have special skills in:_______________________________________.
EDUCATIONAL PROGRAMS
ADULT: ____ Lectures ____Special Events ____Tours
CHILDREN: ____ Activities____ Crafts ____Special Events
____ I am interested in becoming a docent. Please contact me.
EXHIBITS/DISPLAYS
____ Set up exhibits at the Dousman Stagecoach Inn Museum.
____ Create displays promoting Elmbrook Historical Society events
____ I have a special collection that I would like to display. Please contact me.
SPECIAL EVENTS
____ Civil War Days Encampment ____ Halloween at the Inn
____ Christmas at the Inn ____ Silent Auction ____ Mini Fundraisers
____Organize____ Help at a special event
____ Bake ____ Prepare food for a special event
____ Sell Admission Tickets ____Sell Raffle Tickets____ Parking Attendant
____ Solicit ____ Set Up Silent Auction items ____Take Pictures
____ I will help where needed.
Please mail this form with your enclosed check payable to the Elmbrook Historical Society to:
Elmbrook Historical Society
P.O. Box 292 Brookfield, Wisconsin 53008 - 0292
Attention: Membership Chairman
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