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image.gif (2459 bytes)       Chase County, Nebraska
                    Historical Society

Membership       

     Membership in the Chase County Historical Society is $5.00 per year.  You can apply for membership in person at the Museum, or  you may print out the form below, fill it in and mail it to the address indicated, along with your check or money order payable to the Chase County Historical Society.  You will receive a membership card in the mail.  Thank you; we appreciate your support.

 

    Chase County Historical Society
73989 320th Avenue
Imperial, NE 69033-8616

 

Name: ____________________________                Date: _________________

Address: ________________________________________________________

City: ______________________ State: __________   Zip Code: __________

Phone number: _____________________    email: ____________________

Your connection to Chase County: ________________________________

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