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Monticello Area Historical Society

Membership Application

Name:_____________________________________________________

Address:_____________________________________________________

City: __________________________  State: ___  Zipcode:_____

Email:____________________@___________________________

Telephone:(____) ____-______

Membership type: (Please check one)

_____  Annual-Individual - $20.00

_____  Annual-Family -$35.00

______  Send the quarterly newsletter to my email address.

______  Send the quarterly newsletter to my home address.

Please send your completed application and payment (cash or check made payable to MAHS) to:
Monticello Area Historical Society
P. O. Box 463
204 N. Main St.
Monticello, WI 53570