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. Donations may be tax-deductible.

INDIVIDUAL: ________ Supporter $10
  ________ Contributor $35
  ________ Sponsor $60
FAMILY: ________ Supporter $20
  ________ Contributor $50
  ________ Sponsor $100

ADDITIONAL DONATION OF: ____________________



NAME:
 
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ADDRESS:
 
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CITY:
 
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STATE:
 
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ZIP CODE
 
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PHONE:
 
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E-MAIL (Optional)
 
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Send a copy of this form and a check made payable to: Ashfield Historical Society, P. O. Box 375, Ashfield MA 01330. We thank you for your support.