|
to
print out form, click here
Name
______________________________________________________
Mailing Address
_____________________________________________
Town/City___________________________________
State __________
Zip____________
Phone ________________ email_______________________
If out of
town address, local phone_____________________
Membership
category ____________________ Amt. Enclosed $__________
I
would like to support the following with an additional contribution
of $________
p Stone
Store Mortgage
p Educational
Programs
p Building
Preservation
p Mark
Dewey Research Center p
Collections
Care p
Apply
where most needed
p
I (we) qualify for a matching
gift program
p Form
enclosed
p Please
send information about including the Sheffield Historical Society
in my estate plans.
p Donation
in honor or memory of _____________________________
Please
make checks payable to: Sheffield Historical Society and mail
to: P.O. Box 747, Sheffield, MA 01257. Contributions are tax
deductible to the full extent of the law. Thank you for your
support.
|