Bixby Historical Society Membership Application

Fee Schedule

Individual Life Membership - $100 Endowment

Annual Individual Membership - $10

Annual Family Membership - $25

Please print and cut on dotted line.

---

Membership Information:

NAME _____________________________________________________________

STREET ADDRESS ___________________________________________________

CITY _____________________________________ STATE ________ ZIP __________

PHONE _________________________

EMAIL ADDRESS _________________________________________

BEST TIME OF DAY TO CONTACT YOU _____________________

ARE YOU INTERESTED IN VOLUNTEERING AT BHS? (please circle one)     YES     NO

TYPE OF MEMBERSHIP DESIRED (please check one of the following):
_____ Individual Life Membership at $100 per person.
_____ Annual Individual Membership at $10 per person.
_____ Annual Family Membership at $25 per single family unit. Please list the names of your family members in the space below:

 

MY $_____ FEE IS ENCLOSED

COMMENTS:

 

---

Fill in the the above information.
Enclose a check or money order for the applicable fee.
Mail to: Bixby Historical Society, P.O. Box 1046, Bixby OK 74008.
Your membership at Bixby Historical Society is valued.

Membership dues collected at Bixby Historical Society help maintain the museum & grounds, support events & projects, and provide funding for office supplies. Bixby Historical Society is operated by volunteers and has no paid employees.