Lost Lake - Randolph Historical Society
Preserving the past for today and for tommorow
Member/Donor Information
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MEMBERSHIP INFORMATION

Annual membership levels are:
Individual $10
Family $20
Contributing $100
Business/Professional $500
Sustaining/Lifetime $1000

If you would like to become a member or make a donation, please print this page or download and print the informational brochure by clicking on the link to the right. (Please note that because we are a 501(c)3 non-profit organizations, your donation is tax-deductible.)
Fill out your information as indicated and mail the completed form along with your check to: 
Lost Lake - Randolph Historical Society
c/o Valerie Johnson, membership coordinator
N7130 N. Lost Lake Road 
Randolph, WI 53956

LOST LAKE -RANDOLPH HISTORICAL SOCIETY MEMBERSHIP/DONATION FORM
Name
 
 
 
Address
 
 
City/State/Zip
 
 
Phone
 
 
Email address
 
 
 
Membership Level
(check one)
 
Individual ($10)
                   
Family ($20)
 
Contributing ($100)
 
Business/Professional ($500)
 
Sustaining/Lifetime ($1000)
 
OR I prefer to make a donation of $__________.
 
 
Volunteering
I am interested in helping the society with: 
(You may check more than one.)
 
Museum Exhibits
 
Lost Lake School Exhibit
 
Fundraisers (prep work/serving food/donating food or raffle items)
 
I have museum or one-room school items to donate.
(Please list items.)

NOTE:  Please make checks payable to the Lost Lake - Randolph Historical Society. 
We're sorry we are unable to take online donations at this time.



Informational Brochure
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