| Belmont Historical Society |
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Join us to share, learn and preserve our special community heritage! (You can also use this form to order the publication with or without joining.) |
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MEMBERSHIP / ORDER FORM |
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Annual membership dues:
___ Individual $10. ___ Family $15.
Publication:
Please send checks payable to: Belmont Historical Society
Name:________________________________________________
Thank You |
| TOTAL MEMBERSHIP AMOUNT | $_________ |
| ADDITIONAL DONATION | $_________ |
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A “Belmont NH Postcard” book at $24.99 |
$_________ |
| TOTAL AMOUNT ENCLOSED | $_________ |