Please print and mail in this membership application along with your check.

Payment information is shown near the end of this form.  Thank you for your support!

MEMBERSHIP FORM

BOTHELL HISTORICAL MUSEUM SOCIETY

P.O. Box 313

Bothell, WA   98041

(425) 486-1889

Name: ____________________________________________________________________

Street Address: _____________________________________________________________ 

City: ______________________________________State: _______  Zip: _________

Phone: ____________________________________Date: ________________________

ANNUAL MEMBERSHIPS

Please make checks payable to:

Bothell Historical Museum

Mail your application and check to:

Bothell Historical Museum

P.O. Box 313

Bothell, WA   98041

Museum Hours:

Sundays from 1:00pm - 4:00pm, May through September

Also open the first two Sundays in December

Closed for Mother's Day

_______  Business       $30.00

_______  Family          $20.00

_______  Individual          $15.00

_______  Senior (65+ years)         $10.00

_______  I would like to learn more about becoming a volunteer.

_______  I have items to donate.

_______  This is a new membership.

_______  I am renewing my membership.