Membership

Jackson County Historical & Genealogical Society Kansas

2024 Membership Form - 2024 Dues are due January 1, 2024

Name: _________________________________________________________________

Address: _______________________________________________________________

City, State, Zip: ________________________________________________________

Check here if this is a CHANGE of address or email: _______

Phone: ______________________Email: __________________________________

Send newsletter (check one): Postal Mail _________ Email ______

Email is used only to contact you about society business. We do not sell our mailing list or our email list.Members receive the quarterly newsletter, The JacksonianMembers receive back issues for the current year if dues are paid late.

_____ $40 Individual            _____ $70 Family (two adults and children under age 18)

_____ $150 Supporting (recognized in Founders Day program - for those who wish to give extra)          

 _____ $150 Business

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OTHER DONATIONS

_____ Gift (for general operating fund) _____ New Museum Building Fund

_____ Contact me about estate planning _____ Please contact me about volunteer opportunities.

Mail to: Jackson County Historical & Genealogical Society Kansas (JCH&GS)                                               

216 New York Avenue - Holton KS 66436                785-364-2087 or 785-364-4991 https://sites.google.com/site/jchsks/home     Email: jacohistsoc@gmail.com

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Dues increase 2024.
For office use only:Newsletter: Mail __________Email  _______   

New member letter ______ Check # ________

Listed in newsletter _____ Membership acknowledged (email) _____

Gift acknowledged ______ Museum Fund acknowledged _____