“IN WORKER SOLIDARITY THERE IS JUSTICE”
Wisconsin Labor History Society Membership Application
Annual Dues (Individuals):
[ ] $20.00 Individual
[ ] $10.00 Student, Retired
[ ] $30.00 Family
[ ] $55.00 Sustaining Membership
[ ] $105.00 Solidarity Membership
PLEASE PRINT
Amt. Enclosed ______________ Check one: [ ] Renewal [ ] New Member
Name______________________________________________________________
Organization/Affiliation_________________________________________________
Address ____________________________________________________________
City_____________________ State ____ Zip _______Phone (____)____________
Email address _______________________________________________
[ ] YES, I would like to volunteer to assist the Society in the following ways(check those that apply): __ Membership __ Communications __ Outreach to Schools __ Technology __ Other (Specify) ___________________________
Make check out to: Wisconsin Labor History Society. Mail to:
Wisconsin Labor History Society, 6333 W. Blue Mound Rd., Milwaukee WI 53213
You may also make online payments. Go to our website: http://wisconsinlaborhistory.org/membership.
Kg/jb/opeiu rev. 12/20