2007 Application for Membership

1.

Name ____________________________________________________

Street ____________________________________________________

City _______________________State__________ Zip _____________

Phone _______________________ Fax _________________________

Email _____________________________________________________

Membership Year is January 1 to December 31, 2007

Dues:
Individuals -- $20.00 per year
Families & Businesses -- $25.00 per year

Please remit as soon as possible in order to establish a budget and committees for the coming year. Thank You

Volunteer Interests (*OPTIONAL*)

Finance Committee (Fundraising, Grants, & membership)
Maintenance Committee (Building & Grounds)
Work Crew (Get museum ready for public)
Accessions & Display Committee
Basic Operations Committee (Office work)
Historical Committee (compile Burlingame & area history)

PRINT and Mail Application and Check to:
Burlingame Historical Preservation Society (BHPS)
PO Box 74
Burlingame, KS 66413

THANK YOU The Burlingame Historical Preservation Society is a non-profit organization of concerned citizens united to preserve our history for the benefit of the community, the citizens of Burlingame and the surrounding rural area