Membership Application
The Lake Erie Islands Historical Society
P.O. Box 25, 25 Town Hall Place, Put-in-Bay, OH 43456
419-285-2804











 

 

 


 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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