Lancaster Historical Society Membership Form

Yearly Memberships

Student, $5.00
Individual, $15.00
Family, $25.00
Sustaining, $50.00
Benefactor, $75.00
Patron, $100.00
Lifetime, $1000.00

Name: _________________________________________________________

Address:________________________________________________________

City:___________________________________________________________

State:___________________________________________________________

Zip:____________________________________________________________

Phone:__________________________________________________________

E-mail:__________________________________________________________

Please make checks payable to the Lancaster Historical Society.

Mail to: Post Office Box 244, Lancaster, MA 01523

The Lancaster Historical Society is a 501(c)(3) charitable organization.

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