New
Bremen Historic Association
P.O. Box 73 - New Bremen, Ohio
45869-0073
$12.00 PER YEAR
$6.00 PER
YEAR
for Spouse
TO
ENSURE UNINTERRUPTED DELIVERY
OF
OUR QUARTERLY PUBLICATION
The Towpath
Check
your mailing label for your current status.
$________ Dues enclosed for
year(s) of _________________
$________ Spouse’s Dues for year(s) of _________________
$________ LIFETIME
MEMBERSHIP @ $120.00
$________ SPOUSE’S @
$60.00
$________ Other Donation (for future projects, etc.)
$________ Memorial for _______________________________
Name(s)
__________________________________________________
Address_______(
return address label preferred)________
City, State, Zip
_________________________________________
(Please
keep us informed of any address changes!)
Email address__________________________________________
Phone___________________________________________________
How did you hear about the New
Bremen Historic Association?