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