The Pueblo County Historical Society Membership Form
Annual Membership
Student $12
Sponsor $ 200
Single $35
Patron $300
Couple/Family $45
Benefactor $1,000
Supporting $80
Institutional/Corporate $1,000
Name:
(If you chose family membership above, list their names.)
Address:
City, State & Zip:
Phone
Business Phone:
Email Address:
This Membership is
New
Renewal
Gift Membership
Comments:
Please print this application and mail it along with your check to
Pueblo County Historical Society
201 West "B" Street
Pueblo, Colorado 81003