Membership Form
Thank you for your interest in the Pentwater Historical Society. Please fill out the form below with your information. The annual membership fee is $50.00, plus an additional $10 if you would like to have a mailed copy of our newsletter. Payment options will be shown after you hit submit. Thank you again
Email address *
Please select an option below *
Last Name *
Your answer
First Name *
Your answer
Address *
Your answer
Address Line 2
Your answer
City, State and Zip Code *
Your answer
Phone Number *
Your answer
Printed Newsletter by Mail? *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service