Fulton County Historical Society
Annual Membership Form
Name _________________________________________________________________________________
Address _______________________________________________________________________________
City __________________________________________ State _______________ Zip Code ___________
Phone _____________________________ E-mail _____________________________________________
If above is a gift membership, then the gift is from:
Name _________________________________________________________________________________
Address _______________________________________________________________________________
City __________________________________________ State _______________ Zip Code ___________
Phone _____________________________ E-mail _____________________________________________
_________ Check here if paid online by PayPal or credit card.
Membership Categories: (check one)
Historian ($1,000) ____
Includes name listed on all Educational Programs and a plaque at the Fair and Museum for year
Admits 2 adults and children in immediate family under 18 to all sites
Name appears in quarterly newsletter and annual banquet program
Council Oak ($500) ____
Includes name Listed on a plaque at the Fair and Museum for year
Admits 2 adults and children in immediate family under 18 to all sites
Name appears in quarterly newsletter and annual banquet program
Pioneer ($250) ____
Admits 2 adults and children in immediate family under 18 to all sites
Name appears in quarterly newsletter and annual banquet program
Native ($100) ____
Admits 2 adults and children in immediate family under 18 to all sites
Name appears in annual banquet program
Patriot (Couple/Family) ($30) ____
Admits 2 adults and children in immediate family under 18 to all sites
Patriot (Individual) ($25) ____
Admits 1 individual to all sites
NOTE: The Following discounts may be applied to annual memberships:
Senior Couples (minus $10 per couple) = $20 ____
Senior Individual or Students/Children (minus $10 each) = $15 ____
Make Checks payable to Fulton County Historical Society
C/O Memberships
P.O. Box 104
Wauseon, Ohio 43567
Questions? Call: (419) 337-7922 or
E-MAIL: museum@fultoncountyhs.org