Membership Form
 

Name ____________________________________________________________

Address __________________________________________________________

              __________________________________________________________

Phone Number _____________________________________________________

Email Address _____________________________________________________

 
Please check appropriate boxes:

Yes, keep me (us) posted about meetings and events

No, do not send emails

 
Membership Dues:

Yearly:  

single $20.00

family (household) $35.00

Lifetime ( paid in full ):

single $200.00

family (household) $350.00

Make checks payable to Historical Society of Litchfield and mail along with this form to:

Historical Society of Litchfield

C/O Town Office

2400 Hallowell Road

Litchfield, Maine 04350

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