Wisconsin Historical

Steam Engine Association

Type in your information, print it and, with your membership dues, mail to the membership contact person.

Membership RENEWAL Form

Please fill out one RENEWAL form per person.

Name

Street Address

City State Zip

Phone No.

E-mail

As a member of the Wisconsin Historical Steam Engine Association Inc., I agree to honor the bylaws of the organization.

Signature Date

The annual membership and renewal fee is $20 per person. Please forward your renewal form and dues, payable to the Wisconsin Historical Steam Engine Association Inc. (WHSEA) to the membership contact person.

Membership contact

Vicky Bloemers

221 Seifert St.

Adell, WI 53001

920-838-1798