HOLLY HISTORICAL SOCIETY Membership Form Date _______________________ New_____________ Renewal ___________________ Name __________________________________________________________________ Address ________________________________________________________________ City _________________________ State ________________________ Zip __________ Home Phone ____________________ Phone #2_________________________________ Email___________________________________________________________________ Special interest ___________________________________________________________ Annual dues are $10 for individual or family. You will receive a program book with the year’s events and membership list. Thank you for supporting the Hadley House Museum. Please make checks payable and mail to: Holly Historical Society 306 S. Saginaw St. Holly, Mi. 48442 HOLLY HISTORICAL SOCIETY Membership Form Date _______________________ New_____________ Renewal ___________________ Name __________________________________________________________________ Address ________________________________________________________________ City _________________________ State ________________________ Zip __________ Home Phone ____________________ Phone #2_________________________________ Email___________________________________________________________________ Special interest ___________________________________________________________ Annual dues are $10 for individual or family. You will receive a program book with the year’s events and membership list. Thank you for supporting the Hadley House Museum. Please make checks payable and mail to: Holly Historical Society 306 S. Saginaw St. Holly, Mi. 48442 HOLLY HISTORICAL SOCIETY Membership Form Date _______________________ New_____________ Renewal ___________________ Name __________________________________________________________________ Address ________________________________________________________________ City _________________________ State ________________________ Zip __________ Home Phone ____________________ Phone #2_________________________________ Email___________________________________________________________________ Special interest ___________________________________________________________ Annual dues are $10 for individual or family. You will receive a program book with the year’s events and membership list. Thank you for supporting the Hadley House Museum. Please make checks payable and mail to: Holly Historical Society 306 S. Saginaw St. Holly, Mi. 48442