The Falmouth Historical Society of Falmouth, Maine
Membership Application or Renewal Request

 
I agree with the mission and purpose of this Society and would like to
become a member or renew my present membership.


Indicate Type of Membership Desired


Student $ 5_____Individual $ 15_____Family $25_____

Supporting $50 or more_______

Name or names_____________________________________________________________
Address__________________________________________________________________
Telephone and
Email_________________________________________________________

Date of
Application____________Signature___________________________________
Please tell us about yourself, present and past, your interests and former
occupations,
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________`
Would you be willing to serve on one of the Society Committees?
Archives____Development____Finance____Grants____Hospitality____Membership____
Newsletter____Museum____Nominating____Products____Program____Publicity________
 

Please Send Application and Check to:
Membership
PMB 367 202 US Route 1
Falmouth. ME 04105
__________________________________________________________________
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