Please enroll me (us) as a member of the Kanabec History Center at the level checked below: Memberships are annual from the date you join. The Kanabec History Center is a 501 (c)(3) nonprofit and as such your membership is tax deductible.

Date filled out______________________  Date Received _______________________

____  $25 Individual                   Name _______________________________________________

____  $40 Family                      Spouses Name ________________________________________

____  $50 Family Plus             Address______________________________________________

____  $100 Century                 City ___________________  State ______ Zip ________________

____  $150 Sponsor                 Phone _________________  e-mail ________________________

_______ New Member   ________ Renewal

Make check out to KHC and mail to Kanabec History Center PO Box 113, Mora, MN 55051