Wisconsin Heritage Online – Membership Dues *

  FY12 (July 2011-June 2012)                                            

Large organization                            $100                                                       

Small organization                            $ 50                                                       

Each institution determines whether they are large or small. For-profit organizations are invited to join at the $100 level.

Name of Institution:     __________________________________________

Street Address:            __________________________________________  

City/State/Zip:             __________________________________________

Contact Person:            __________________________________________

Email address:              __________________________________________

Phone:                          __________________________________________

We will join/renew Wisconsin Heritage Online in the ___LARGE___SMALL category.

_______ Please send invoice.

_______ A check is enclosed. Make check payable to Wisconsin Library Services.

_______ Remove from deposit account.  

RETURN to: 

Wisconsin Heritage Online, 728 State Street Room 464, Madison, WI 53706

FAX: 608.262.6067

or email to Shirley Schenning, schenning@wils.wisc.edu  

* The figures above are suggested contributions. Please give what your budget can handle. Thank you!