Historic Madison, Inc. Order Form
Please print the form, complete it, calculate the total, and mail with your payment to the address at the bottom of the form. Thank you for your order!


MEMBERSHIP CATEGORIES

Our membership year runs January to December. If joining after September, your membership extends through the next year. All members include a copy of the latest Journal when it becomes available, quarterly newsletters, and program admissions. Please indicate if this is a new membership or renewal membership.

Individual $15 Household $25 Contributing $50 Sustaining $75 Patron $100 Benefactor $250

JOURNALS:
Historic Madison: A Journal of the Four-Lake Region
  See descriptions

(Enter number of copies of each Journal ordering)*

  Vol XIII, 1996 ($3 ea.+$2.75 shipping)  Vol XV ($5 ea.+$2.75 shipping)        Vol XVI ($5 ea.+$2.75 shipping)
  Vol XVII, ($5 ea.+ $2.75 shipping)        Vol XVIII, ($5 ea.+ $2.75 shipping)   Vol XIX, ($5 ea.+$2.75 shipping)
  Vol XX, ($5 ea.+$2.75 shipping)           Vol XXI, ($5 ea.+$2.75 shipping )    

* Some volumes have very few copies left.

BOOKS:
A Biographical Guide to Forest Hill Cemetery ($14 ea.+$4.25 shipping)
Bishops to Bootleggers: A Biographical Guide to Resurrection Cemetery ($9 ea.+$3.00 shipping)
My Life in Politics by Betty Walker Smith Book ($5 ea.+$1.00 shipping)

    Other Items:
Calendar - Pictures, Historic Dates ($10 each for non-members; $5 each for members; free shipping)


SHIPPING INFORMATION: *Required Fields

*Name:       *Address:       Phone:
*City:     *State:     *Zipcode:     Email:
* Shipping Zone:


    Send order form to:         (Make checks payable to Historic Madison, Inc.)
    Historic Madison, Inc.
    202 N Franklin Ave
    Madison, WI 53705