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Stoughton Historical Society
Stoughton, WI - U.S.A.
Membership
Membership Application
Please print, complete and mail to:

Stoughton Historical Society
901 Highway 51
Stoughton, WI 53589
I want to make a difference and preserve Stoughton’s American Heritage!
Name: _________________________________________________

Work Phone: ___________________________________________

Home Phone: ___________________________________________

Address: _______________________________________________

email: _________________________________________________

City: _________________________________________________

ST: ___________, ZIP: __________________________________
Annual Memberships
(__) Student (up to 16): $5 (__) Senior (65+): $10 (__) Individual: $15
(__) Family: $25 (__) Supporting: $50

Lifetime Memberships (Include an Honor listing and walnut plaque for home or office)
(__) Century: $100 (__) Sponsor: $250 (__) Patron: $500
(__) Benefactor: $1,000+ (__) Donation (amount): ___________________

(__) Please contact me. — I’d also like to volunteer _________ hour(s) a month!
List of
Current Members