Sheffield Historical Society Membership Form

Please print and fill in, make checks payable to:

Sheffield Historical Society and mail to: P.O. Box 747, Sheffield, MA 01257

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 _____________________________

Individual $25 - $49 * Family/Dual $50 - $99 * Patron $100 - $499 * Sponsor $500 - $999
 Benefactor $1000 - $ 2499 * Dan Raymond Circle $ 2500 and up

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.