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   State & Local History

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Costa Mesa, California

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Costa Mesa Historical Society

Membership Application

Please print this application form, complete it and send it with your donation to:

Costa Mesa Historical Society
PO Box 1764
Costa Mesa, CA 92628

Membership inquiry, status check, etc.:


Name: ________________________________________________________
Street address: ________________________________________________________
City, state, ZIP: ________________________________________________________
Phone number: ________________________________________________________
E-mail address: ________________________________________________________

Annual Membership Categories

Individual $20.00
Individual Senior (60+) NEW $15.00
Student (under 16 years) $10.00
Family $25.00
Contributing $50.00
Business & Professional $100.00
Public Agency $100.00
Benefactor $250.00
Santa Ana Army Air Base Wing $10.00
Life Membership
Costa Mesa Historical Society -REDUCED $500.00

Area of interest:

[   ] Estancia       [   ] SAAAB       [   ] Costa Mesa Historical Society

Volunteer work in which you are interested:

[   ] Assisting patrons with research questions and projects
[   ] Helping to catalog our photo and other collections
[   ] Clipping newspapers for historical articles
[   ] Staffing our booth at the Lions Fish Fry
[   ] Speaking to schools and other organizations about Costa Mesa history
[   ] Hospitality Chairman for general meetings
[   ] Making desserts to serve at our meetings
[   ] Working with our textile collection
[   ] Telephoning for meetings, etc.
[   ] Working as a Docent at Diego Sepulveda Adobe
[   ] General office work
[   ] Computer input
[   ] Janitorial work
[   ] Other _________________________________

By submitting this form with your dues payment, you will automatically be added to our postal mailing list. If you would also like your e-mail address to be added to our e-mail announcements list, please check this box: 


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