Membership Form
                                
                 Oro Valley Historical Society
                         P.O. Box 69754
                   Oro Valley, Arizona 85737
                                
Select Annual Membership Category:

       ___ Adult 18 years of age and over:  $15.00

      ___ Child under 18 years of age:   $ 5.00

      ___ Family & Children under 18 years:   $25.00

      ___ Student:  $ 5.00

      ___ Corporation or Institution:    $75.00

      ___ Lifetime Membership:   $200.00

Join Now for Membership Through December 2006 and become a "Charter Member"

Memberships are tax-deductible to the extent allowable by law.

Please enclose check payable to: Oro Valley Historical Society

Mail to the P.O. Box address above.

Please Print Membership Data:

Name: ________________________________________________________________

Street Address: __________________________________________________________

City: _________________________________ State: _________ Zip: ______________

Phone Number: (         )   _______________

Email: ____________________________________________________________

May the above membership Data be published in our Membership Roster?    ___ Yes    ___ No

Are you willing to Volunteer on one of the Society projects?   _____Yes   
        
If Yes, area of Interest: _______________________________________________________



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