Preserving, Recording and Celebrating the
  Historical Heritage of Mancos Town and Valley
Mancos Valley
   Historical Society

Member Application

Mancos Valley Historical Society
Post Office Box 465
Mancos Colorado, 81328

Name:    ___________________________________________________________

Address:  __________________________________________________________

Phone:   __________________   Email____________________________________

Levels of Membership: Please indicate level of membership.
All memberships are due for renewal in May of each year.

Please return top portion of this form with your check to address above.

Gold: Life time. Includes a park bench with your
name(s) engraved on a plaque.
$500
Silver: $300
Bronze: $100
Business:  $50
Family:  $25
Single:  $15

Received: $_________  Check # _________ for _______________ Membership
which will expire on May 31, _______________

Deposited on_________________

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Please detach this portion of this form and keep for your records.

Mancos Valley Historical Society
Post Office Box 465
Mancos Colorado, 81328

Amount Paid: $____________       Check # __________

Meetings are held on the fourth Thursday of each month at 4:30 p.m. in the Fellowship Hall of the Mancos United Methodist Church at the corner of Grand Avenue & Oak Street.

Thank you!

Donna Watkins, Membership Chair
303-956-5656
DonnaWatkins.1021@gmail.com