Membership Form

Historical Collections Council
Membership Form

To become a member, please complete the following and mail your contact information and membership fee to:

The Historical Collections Council
P.O. Box 6331
Laguna Niguel, CA 92607

Membership:

	Individual	$100 per year
	Family	$150 per year
	Fellows of the HCC	$500 per year

Name:

___________________________________________

Address:

___________________________________________

Phone Number:

(_______) __________________

eMail:

________________________________________