Please take this opportunity to help us preserve your National Heritage

Yes! Count me in!

    Here is my application for membership  

    I'd like to make a donation  

Name ____________________________________________________________________

Address _________________________________________Telephone ________________

City______________________________Prov.__________ Postal Code _______________

E- mail address ____________________________________________________________

Individual Membership -- $15.00 per year 
Family Membership -- $25.00 per year
Corporate/Community Supporting Membership -- $100.00 per year

Please send me more information on the Claybank Brick Plant National Historic Site

Individual and Family Membership receives:

• Two Newsletters per year.
• The right to vote at the Annual General Meeting.
• Free admission to our Annual Heritage Day.
• The right to be elected to the Board of Directors.

(Family as defined for a Family Membership consists of related persons living under one roof and is entitled to one vote only. Corporate Memberships do not have voting rights)

Donations of over $10.00 will receive a tax deductible receipt.
Registered Charity #89857 8190 RR0001

Please make cheques payable to the Claybank Brick Plant Historical Society.

Print this page and mail to: Box 2-5, Claybank, Sask. S0H 0W0