Type of Membership Desired: (Please circle one)
Active - $15.00 Family - $20.00 Benefactor - $40.00 Patron - $100.00
Make your check payable to:
Colusi County Historical Society
Mail to:
P.O. Box 643
Willows, CA. 95988
Colusi County Historical Society
Application for Membership
Name:______________________________________
Address:____________________________________
City and State:_________________________________
Zip Code:____________________________________
"GETTING TO KNOW YOU"
In order to know more about you and more about your interests in the history of Colusa, Glenn and Tehama Counties, we, the Directors of the Society, would appreciate your answers to the following questions:
Do you have roots in any of these counties? Yes. No.
If so, what counties and towns?____________________________________________________________
The names of your Colusi County ancestors and place of their residence_____________________________
____________________________________________________________________________________
Please list specific areas of interest in the history of this area_______________________________________
_____________________________________________________________________________________
Do you have information about specific subjects or people in this area which you would like to share with us?
___________________________________________________________________________________
___________________________________________________________________________________
