WESTMINSTER HISTORICAL SOCIETY
                       MEMBERSHIP FORM
               INDIVIDUALS AND FAMILIES
                       
Name __________________________________         Please mark your choice.    
Street __________________________________        Individual        $25
City, State, Zip ___________________________        Family            $40
Phone ______________    Fax ______________        Contributing    $50            
Email __________________________________        Supporting     $100            
                                                       

Please fill out this form and send it along with a check payable to the Westminster Historical Society to:

Westminster Historical Society
110 Main St., P.O. Box 177,
Westminster, MA 01473  


The Westminster Historical Society is a tax-exempt organization under 501C3 of the IRS, and all donations are
tax-deductible to the full extent of the law.  The membership year runs from Sept. 1 to Aug. 31.

Please contact me about volunteering.  These are some of my interests:
___ Sorting, cleaning, and cataloging items
___ Putting information about items into a computer database
___ Helping with newsletters and brochures
___ Baking for program events and other special programs