Membership & Donation Form – ECHO – East County Historical Organization

First name*
Last Name*
Company Name (if applicable)
Address*
Street Address City State / Province / Region ZIP / Postal Code
Phone Number*
Email*
Our Basic Membership Levels
- $15 - Student Membership
- $15 - Senior Membership (60+)
- $20 - Individual Membership
- $35 - Family Membership
- $50 - Organization Membership
- $100 - Pioneer Membership
- $500 - Cleone Life Membership
Remember: Your membership is tax deductible!
General Fund Donation

In addition to becoming a member and/or if you'd like to make a donation to our society's General Fund, enter the amount above.
Heslin House Fund Donation

In addition to becoming a member and/or if you'd like to make a donation to our society's Heslin House Fund, enter the amount above.
Zimmerman House Fund Donation

In addition to becoming a member and/or if you'd like to make a donation to our society's Zimmerman House Fund, enter the amount above.
Agree to share your name.*
ECHO may mention your name in our online efforts or in our newsletters to give thanks. If you wish not to be mentioned, for any reason, please select "please do not share".
- Ok to share my name.
- Please do not share my name.
Total
$0.00
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