Richland Historical Society
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Richland Historical Society
170 Richlandtown Pike
Quakertown, PA  18951

215-536-7562

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2011 Membership Application
Name:__________________________________

Address:________________________________

     ______________________________________

Phone:___________________Email:___________________

Individual:  $15 / year______
Family:  $25 / year______
Supporter:  $50/ year______
Lifetime:  $200 ______  Lifetime Couple $300_______
Corporate:  $300 / year______
Membership runs from Jan to Dec of each calendar year
**Life members are encourage to make a donation to our general fund or building fund**

Donation for Building Fund: $______

Mail completed application to:

Richland Historical Society

170 Richlandtown Pike

Quakertown, PA  18951
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