ROCK ISLAND PRESERVATION SOCIETY

Membership Application

Please return this form with your dues for the next fiscal year, March 2007 through February 2008.

Dues are $10.00 for EACH adult, $5.00 for a student. Make checks payable to Rock Island Preservation Society and return to:

Rock Island Preservation Society
P.O. Box 3261
Rock Island, IL 61204-3261

Name_____________________________________________________________

Address__________________________________________________________

Phone____________________________________________________________

Email____________________________________________________________

Check areas of interest:

Tour Yesterday Walking Tours_____________________________

Old House Workshops______________________________________

Interior Building Tours__________________________________

Newsletters and Announcements____________________________

Annual Preservation Awards_______________________________

If we have your email address, we will email meeting agendas and minutes. If you DO NOT wish to receive these, please write X on the line below.
DO NOT SEND EMAIL INFORMATION _______

We will send you a membership card if you write X on the line below.
PLEASE SEND MEMBERSHIP CARD _______