Bixby Historical Society Membership Application
- Individual Life Membership - $100 Endowment
- Annual Individual Membership - $10
- Annual Family Membership - $25
STREET ADDRESS ___________________________________________________
CITY _____________________________________ STATE ________ ZIP __________
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
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.