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