MEMBERS
To join the Ashfield Historical Society or renew a membership, please
choose the
highest donation level at which you can contribute to our yearly
operating
expenses. Your annual membership donation helps pay the daily expenses
incurred in preserving our archival collection and making it available
for
education and research. You may donate an additional amount to help
even more.
All donations are 100% tax-deductible.
| INDIVIDUAL: |
________ |
Supporter |
$10 |
| |
________ |
Contributor |
$35 |
| |
________ |
Sponsor |
$60 |
| FAMILY: |
________ |
Supporter |
$20 |
| |
________ |
Contributor |
$50 |
| |
________ |
Sponsor |
$100 |
| ADDITIONAL
DONATION OF: |
____________________ |
NAME:
|
___________________________________________________________________
|
ADDRESS:
|
___________________________________________________________________
|
CITY:
|
_______________________________
|
STATE:
|
_______
|
ZIP CODE
|
_____________
|
PHONE:
|
_________________________
|
E-MAIL
(Optional)
|
________________________
|
Send a copy of this form and a
check made payable to: Ashfield Historical Society, P. O. Box 277,
Ashfield MA 01330. We thank you for your support.