New Membership Application & Information:

 

Name:  _________________________________________________________________

 

Street Address: ___________________________________________________________

 

City, State & ZIP:  ________________________________________________________

 

Telephone Number:  ______________________________________________________

 

Cell Phone Number: ______________________________________________________

 

E-mail Address: __________________________________________________________

 

Mail to:       Madison History Roundtable

          P. O. Box 6561

                    Monona, WI 53716-0561

 

 

 

 

 

 

 

 

 

 

New Membership Application & Information:

 

Name:  _________________________________________________________________

 

Street Address: ___________________________________________________________

 

City, State & ZIP:  ________________________________________________________

 

Telephone Number:  ______________________________________________________

 

Cell Phone Number: ______________________________________________________

 

E-mail Address: __________________________________________________________

 

Mail to:       Madison History Roundtable

          P. O. Box 45601

                    Madison, WI 53744