-- Moreland Hills Historical Society --

Membership Form

Membership year: September 1st - August 31st (the following year joined)

Memberships: Individual - $10, Couple - $15, Sustaining - $25, Student $5

Name___________________________________

Address_________________________________City______________________State____Zip________

Telephone______________________Email______________________

Please contact me about participating/volunteering_______________

Please mail to Moreland Hills Historical Society, 4350 SOM Center Road, Moreland Hills, Ohio 44022