GRIFFITH HISTORICAL SOCIETY, INC.
P.O. BOX 678, GRIFFITH, IN 46319


___ CURRENT MEMBER ___NEW MEMBER

NAME___________________________________________________

ADDRESS________________________________________________

CITY/ STATE/ ZIP_________________________________________

PHONE___________________________________________________

GIFT FROM ___________________________________

______ Send Card to recipient.    _____ Send card to gift giver.

___INDIVIDUAL - $10 ___SENIOR COUPLE - $10
___SENIOR - $5 ___SUSTAINING - $25
___HUSBAND/ WIFE - $15 ___ANGEL - $50 ___LIFE - $100

MAKE CHECK PAYABLE TO:
GRIFFITH HISTORICAL SOCIETY, INC.

I’M INTERESTED IN HELPING WITH:

____ DEPOT, RAILCAR DUTY WHEN MUSEUM IS OPEN
____ MAINTENANCE COMMITTEE
____ PHONE COMMITTEE
____ HISTORICAL DISPLAY SETUP
____ SHARE THE MEMORIES COMMITTEE
____ RAILROAD FAIR
____ CHRISTMAS ACTIVITIES
____ TOWER RESTORATION
____ OTHER __________________________________________

____ I HAVE THESE SPECIAL TALENTS, ABILITIES OR AREAS OF EXPERTISE:
______________________________________________________
___________________________________________________________
___________________________________________________________

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November 26, 2004
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