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Floyd Norgaard Cultural Center
Membership & Memorial Form

Memberships are due annually during the month of January. This is a significant means of support for the Society and includes a subscription to the newsletter. SAHS is a tax-exempt non-profit organization and depends for its financial support on gifts, bequests from individuals and groups, fund raising activities and membership dues. Your contributions are tax deductible to you and will be used in support of history education, exhibits and programs.

  • [  ]  Individual Membership: $8.00
  • [  ]  Family Membership:  $12.00
  • [  ]  Business / Organization Membership:  $15.00
  • [  ]  Student Membership:  $1.00
  • [  ]  Lifetime Individual Membership (over 65 yrs of age to be eligible):  $100.00
  • [  ]  Newsletter Subscription only :  $5.00
  • [  ]  General Supporting Donation: $ ___________
Name [Please print]                                                                                                        
Address
City
State
Zip
Phone
Memorial For: 
Acknowledgement Address: