Historical Society Member Application

Name: ___________________________________________________

Address: _________________________________________________

City: ___________________ State: ______ Zip: __________

Membership Category (Check appropriate box)

___* $100 LIFETIME SUSTAINING

*A partial payment & pledge of membership is available: $25 initial payment and 3 annual $25 payments.*

Send application & check or money order to:

Milwaukee Fire Historical Society Limited
711 West Wells Street
Milwaukee, WI  53233

A membership card will be mailed to you after payment is received.