Please send this form along with your check to:
Galt Area
Historical Society, Inc.
P.O. Box 782
Galt, CA. 95632
~ Phone 209-745-0951
I am interested
in becoming a member of the Galt Area Historical Society
( ) as an
active ( ) or Support member
Individual $20.00
Individual Lifetime $200.00
Family $40.00
Family Lifetime $250.00
Student $10.00 (under 25 with proof of enrollment)
Business or Corp. $50.00
Renewal Membership New Membership
Membership Dues and Donations are Tax Deductible
_____I would like to make a donation to the Galt Area Historical Society
Please accept my donation of $______________ Date______________
Name ____________________________________________________
Address __________________________________________________
City _____________________ State _______ Zip Code ____________
Phone________________ Email: ______________________________
Comments:________________________________________________
We Sincerely Thank You!
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