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Colusi County Historical Society
Application for Membership

Name:
Address:
City and State:
Zip Code:
Phone Number:
E- Mail:

"GETTING TO KNOW YOU"

In order to know more about you and more about your interests in the history of Colusa, Glenn and Tehama Counties, we, the Directors of the Society, would appreciate your answers to the following questions:

Do you have roots in any of these counties? Yes No

If so, what counties and towns?

The names of your Colusi County ancestors and place of their residence

Please list specific areas of interest in the history of this area

Do you have information about specific subjects or people in this area which you would like to share with us?

Type of Membership Desired: (Please select one)

Individual - $15.00 Family - $20.00 Benefactor - $40.00 Patron - $100.00

Make your check payable to:
Colusi County Historical Society
Mail to:
P.O. Box 643
Willows, CA. 95988

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