PLEASE USE THIS FORM FOR NEW MEMBERS ONLY
PASS IT ON TO YOUR FAMILY & FRIENDS

Villa Park Historical Society
  Membership Form

   Types of Annual Membership:

    $10 Adult              $20 Family    

   $5 Senior 65 & older        $5 Student      $25 Corporate

          Life Membership is Available

First Name           Date

Last Name         Phone

Address    City

State            Zip Code

$ Donation to be made in the memory of:

May we call you to volunteer ?      YES      NO

Please fill out
and print form

Remit to:
Villa Park Historical Society
220 S. Villa Ave.
Villa Park, IL 60181

All payments are tax deductible !