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Mail to: Heritage Quest Research Library
1007 Main Street
Sumner WA 98390-1412

Membership Application

Name:
Address:
City, State, and Zip Code:
E-mail Address: Phone Number:

Membership in HQRL is $35 per year for a single membership and $40 per year for a family and includes a mailed printed copy of the quarterly newsletter.

checkbox   Yearly Dues with printed newsletter by mail:  Individual cb_1 $35.00  Family cb_1 $40.00 (Must reside at the same address.)

Your membership year starts on the day you join and ends one year later.

Choose the electronic newsletter and save $5.00!

checkbox   Yearly Dues with electronic newsletter:  Individual cb_1 $30.00  Family cb_1 $35.00 (Must reside at the same address.)

Please include a check, money order or credit card payment information with this form.

Credit Card Payments Only
Cardholder Name:
(print exactly as it appears on the card)
Billing Address:
City, State, and Zip Code:
Credit Card Number: Type of Card (circle one): VISA MasterCard
Both required: Daytime Phone # and Zip Code: Expiration Date:
Signature:

 

Membership DOES NOT include:

Site Map | © 2001 - 2017 Heritage Quest Research Library, 1007 Main St., Sumner, WA 98390-1412  •  253-863-1806
last modified:  5 Aug 2015 13:56 PDT

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