L.E.I.H.S. Membership Application

A L.E.I.H.S. membership includes free admission to the museum, the newsletter “The Lake Erie Islands Historical Society News”, two museum parties each season, discounted event & tour tickets, museum store discounts and first notification of limited attendance museum-sponsored programs. Click here for a downloadable Membership Application you can print out.

Date: _____________________

New Membership: __________ Renewal: ____________

Membership Type: 

Individual: $25.00 _____  Family: $35.00 _____ Sponsor: $50.00 _____

Sustaining: $75.00 _____  Benefactor: $125.00 _____ 

Patron: $250.00 _____  Life: $1000.00 _____

Name: (Mr./ Mrs./ Ms./ Dr.) ___________________________________________

Spouse Name: _______________________________________________________

Permanent Address: __________________________________________________

Phone: ____________________ Email: _______________________________

Island Address: (Box No.) _________ PIB/ Middle Bass/ North Bass

Island Phone: _______________

Please send my newsletters to my island address from _______________ to ________________.

The above information is for L.E.I.H.S. records and kept strictly confidential.

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