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You are invited to become a member of the
Platte County Historical Society.

Tell us how to get in touch with you:
Name: 
Address: 
City: 
State: Zip:
Phone: Fax: 
E-mail:
Individual Family

Regular

$10.00/year $15.00/year
Contributing $15.00/year $25.00/year
Friends of Museum $50.00/year
Life Member $100.00 $160.00
Supporting Member $250.00
Patron of Museum $500.00
Benefactor of Museum $1,000.00 or more
Corporate-Life Member $250.00

Complete form, before submitting, print and mail along with payment to:
Platte County Historical Society
P.O. Box 31
Columbus, NE   68601
By submitting this form, it will only allow the Historical Society the opportunity
to know of your interest in becoming a member.

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