Become a Member...
...of the Charles Perdew Historical Association
 Perdew Canvasbackand be part of an "Illinois Tradition"


Print this page, complete the form and mail it with your check to:

Charles Perdew Museum Association
PO Box 103
Henry, IL  61537

If paying on line with Visa or MasterCard:
Go to the Contact page on our website and indicate you are interested in becoming a member,
 next, click on the email address below or call us at 309-364-3279. (The Paint Store)

Name:   _____________________________________________________________

Address:   _____________________________________________________________

City:   _________________________________State: ___________   Zip: ___________

Phone:   _________________________Email address: _________________________

Check Membership Type:
Individual/Family - $30_____________ Corporate/Business  $80_____
Additional donation $  _____________               Total Amount Enclosed $ __________


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Charles Perdew Museum Association
914 Front Street
P.O. Box 103
Henry, Illinois 61537-0103