Membership Form Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * Checkbox I am not interested at this time in becoming a member of the HCHS, but would like to make a donation. You may send it to the address below. I am interested in becoming a member. Membership fee is $20 per year. Please send your membership fee and this form to the address below. Message Please submit all forms and payments in check or cash to: Hardin County Historical Society P.O. Box #187 Eldora, IA 50627 Thank you!