Membership Application
Name:
Address:
City: State/Zip:
Telephone: E-mail:

Membership Categories:
Life Membership $700.00
Annual Memberships:
Sponsor $300.00
Business $150.00
Patron $100.00
Supporting $75.00
Family/Spouses $40.00
Individual $30.00
Student, age 10-22 $15.00 Amount:
Please consider making a tax-deductible contribution to the Westport Historical Society Endowment Fund Amount:
Please consider making a tax-deductible contribution to the Westport Historical Society Capital Campaign Amount:
TOTAL:
Please print and remit to:
Westport Historical Society, 4000 Balitmore, Kansas City, MO 64111

An Association chartered in 1950 (Kansas City's Centennial Year) of men and women who have
an interest in the early history of Westport and Kansas City. New members welcome.
WHS is a tax-deductible 501(c)(3) Not for Profit Organization.