Denmark Township Membership Form

Name: ____________________________________________ Date: __________________

Address: _________________________________________________________

Address #2: ______________________________________________________

City: _______________________________ State: _______ Zip: _______________

Phone:_________________________ FAX / E-mail: ______________________________

- - Individual - $10 - - Family - $20 - - Sustaining - $50 - - Benefactor - $100 - - Guarantor - $250 - - Patron - $500       Corporation, foundation, and organization memberships are available at each level $20 and up.   Please use the reverse side for additional information: your family history, your interest in Denmark Township, suggestions for potential members, or how you can help.   Close window and return to web site.   Print this Form and Send it with your check to the Address Below

JoAnne Olson DTHS Membership Chairperson     11487 Oakgreen Avenue South Phone: 651.437.9642     Hastings, MN  55033-9473     The Denmark Township Historical Society Thanks You for your Support