Wellfleet Historical Society Membership Form

Wellfleet Historical Society
P.O. Box 58
266 Main Street
Wellfleet, MA 02667
Tel. 508-349-9157

Membership Form

Please print out this form, complete it and mail it,
with your dues, to the above address.

Annual Memberships from January 1 through December 31

Individual Membership...$5.00

Lifetime Membership...$100.00

Family Membership...$15.00

Contribution...$__________

Name _____________________________________________________

Address ___________________________________________________

City_________________________ State ______ Zip____________

Tel: Home_______________________ Business____________________

Please make check payable to the Wellfleet Historical Society

Use the space below for comments/suggestions of what you would like
regarding future activities and programs.

Please specify in what capacity you would like to volunteer.

You may also email comments and/or suggestions to: museum@wellfleethistoricalsociety.com

Comments: ______________________________________________

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