Governmental Membership Join Form

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Please provide the name of the person responsible for communicating with our organization

Please provide an additional contact in the event the primary contact becomes unavailable

Include a submember in your membership registration

Townships Under 5,000 Population

Townships Under 10,000 Population

Townships Over 10,000 Population

Cities/Towns Under 5,000 Population

Cities/Towns Under 10,000 Population

Cities/Towns Over 10,000 Population

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Primary Contact First Name *

Primary Contact Last Name *

Municipality/Township Name *

Primary Contact Email *

Municipality/Township Address Line 1 *

Address Line 2

City *

State/Province *

Zip/Postal Code *

Country *

Data Privacy & Consent

Yes, I would like to receive communications from McHenry County Historical Society and Museum by email.

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Include a submember

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Choose Existing Contact(s)

Membership Level *

I would like to automatically renew my membership

Secondary Contact First Name *

Secondary Contact Last Name *

Secondary Contact Job Title *

Secondary Contact Phone *

Secondary Contact Email *

Address Line 1

Address Line 2

City

State/Province

Zip/Postal Code

Country

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Discount Code

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Order summary

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Discounts -{{formatAmount(orderSummary.discounts)}}

Total {{formatAmount(orderSummary.total)}}

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Address Line 1

Address Line 2

City