Grantham

Your membership fees help the Grantham Historical Society develop programs, exhibits and educational materials for anyone interested in the history of Grantham. All donations are tax deductible and include receipt of our quarterly newsletter. New members are welcome!

2009 MEMBERSHIP & ANNUAL DUES FORM

ABOUT YOU

NAME________________________________

MAILING ADDRESS____________________

TOWN_______________________________

STATE_______________________________

ZIP_________________________________

PHONE______________________________                                                                      

E-MAIL ADDRESS_____________________

PLEASE CIRCLE ONE: New member or annual renewal

ANNUAL DUES (renewals currently due as of January 1, 2009): 

• INDIVIDUAL ($10)                                                                                              
• FAMILY ($25)                                                                                         
• PATRON/BUSINESS ($50)                                              
• EXTRA CONTRIBUTION  __________                 
• TOTAL CHECK AMOUNT __________

Please print this page and mail with a check or money order to:

Grantham Historical Society P.O. Box 540 Grantham, NH 03753               

Thank you for your support!