Decatur County Historical Society -
Membership Form
Name_________________________________________________
Address_______________________________________________
Phone_____________ E-Mail _____________________________
Circle type of membership
Student $ 10.00 per year
Individual $ 15.00 per year
Family $ 25.00 per year
Patron $ 50.00 per year
Historian $100.00 per year
Lifetime $500.00 (one-time payment)
Mail to: Historical Society, P.O. Box 163,
Greensburg, IN 47240 - Attn: Dues