Annual & Life Membership Application / Renewal

Annual Dues - Adult

$10.00

Please Make Checks Payable to:

New Market Historical Society

Children (12 and under)

$1.00

Contributing Member

$15.00

Your Name and Address Here

Business Member

$25.00

Life Memberships

Individual

$50.00

Business

$200.00

Enclosed

Please Mail Dues to:

Dues: $

Lucille LeGault-White

Donation: $ (Tax Deductible)

49 Ash Swamp Road

Total Enclosed: $

Newmarket, NH 03857-2030

Note: If you wish to receive your 2010 membership card in the mail, please enclose a stamped, self-addressed envelope. Otherwise, membership cards may be picked up at our regular meetings.

We appreciate your support, and look forward to seeing you at our 2010 events.

The cost of the 2010 program printing and mailing is very generously underwritten by:

The Boston Educational Network; Philip G. LePage and Paul A. Zocchi