MEMBERSHIP APPLICATION  

Please print out this form and submit with a check to:
Beavercreek Historical Society      
1368 Research Park Drive
Beavercreek, OH 45432

   Enclosed is a check for 

 $___________________
  (see below for options)

   Annual Membership Fees: 
   (renewable each October)

   Student (to 18) $5
   Individual $15
   Family $20
   Club/Organization $50
   Patriot $100-499
  
   Lifetime Memberships:
   Preservationist $500-$999
   Historian $1000
 Name (below):



_________________________________________________________________________  Address (below):  



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Phone (below):  



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                                             WAYS IN WHICH I AM WILLING TO HELP
____ Develop oral history of Beavercreek

____ Work on barn/house preservation

____ Help with fundraising

____ Newsletter

____ Tours/historical programs at the park

____ Programs		 ____ Hospitality

____ Publicity

____ Membership

____ Demonstrate Crafts

____ Living History Weeks

____ Heritage Days