Please send your completed membership form, with your dues, to Mike Braman P.O. Box 306 Hillsdale, MI 49242

   Date: _________________     Name: _____________________________________________________

Complete Address:_______________________________________________________________________________________


Phone: _______________________________                                      

email: _____________________________________________________________________________________

     Please circle one category for Membership Dues

   Single Member-$7.50    Family-$10    Life Member-$100    Senior Citizen Life Member-$50     Business/Professional Member-$15

   Please check the activities you would like to participate in

   ___Contribute baked goods for events at the Poorhouse    ___Act as a docent at the Poorhouse ___Act as a docent at the Fairgrounds Museum during the Fair