Buena Park Historical Society
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Application for Membership

Name(s):
________________________________________________
Address:
________________________________________________
City, State, Zip:
________________________________________________
Telephone:
________________________________________________
Email:
________________________________________________

Active Membership* - $10.00 each year
(Only for you; no other family members.) Family Membership* $15.00 each year
(includes you, your spouse & children under 18.)

Lifetime Membership $100.00 just once
(Individual membership for life. Not transferable.)

Donations - optional but nice
(Can be earmarked for projects or memorials.)

*Dues cover membership for the current calendar year and will be billed in January of subsequent years. New-member dues paid after October 1st shall be considered paid through the coming year.

Your membership Helps preserve local history and is tax deductible.
California Domestic Non-Profit Corp #C0547964; Federal Tax I.D. #95-3637307

Buena Park Historical Society
6631 Beach Blvd., Buena Park, CA 90621
(714) 562-3570