To become a member of the

Oceanside Historical Society

Print out this form and mail to:

P.O. Box 125

Oceanside CA 92049

Please print clearly and check your preferred level of membership:

Name:  ______________________________________________

Address: _____________________________________________

City: ________________________________________________

State and Zip-4: _______________________________________

Phone Number: _______________________________________

Email Address:  _______________________________________

Membership:

__ Individual  $18.00

__ Family $25.00

__ Friend $50.00

__ Benefactor $100.00

__ Patron $200.00

__ Life Member $350.00