Join us in celebration of our Polish Heritage!
Print this page and return with your membership request
Please accept my tax-deductible membership in the Polish Heritage Center.  My
donation will entitile me to periodic newsletters, notification of special events
and free admission to the Center's museum and archival resources:

Name _________________________________________________________

Street Address ___________________________________________________

Town _____________________________ Zip __________________________

Phone _________________________________________________

e-mail address __________________________________________

Membership Categories:

Yearly ______  Lifetime ______  Benefactor ______

Memorial Book Contribution (include name of honoree) ______________________

Please contact me about how I can assist in the center's work as a volunteer ______      
                          
Amount Enclosed ____________
Your membership and donations are important. Categories of
support include:

  • Regular Membership: $10.00 per year
  • Lifetime Membership: $100.00
  • Honorary Benefactor $500.00+
  • Master Benefactor $1000
  • Memorial Board Contribution: $100.00 (A lasting tribute to your
    loved one)
  • Special bequeaths welcome.  Please remember us in your
    Estate Planning.
The Polish Heritage Center is incorporated with a 501C-3 status.  All
contributions are tax-deductible.
Send to:
Polish Heritage
Center Inc.
P.O. Box 3
226 Carlton Avenue
Ashton, NE 68817
308-738-2249
Email Us
phc@cornhusker.net