Needham Historical Society


Needham Historical Society Membership

( ) Senior Citizen $15.00 ( ) Historian $100.00
( ) Individual $20.00 ( ) Archivist $500.00
( ) Family $30.00 ( ) Benefactor $1,000.00
( ) Curator $50.00    

In addition to my membership, I'd like to contribute the amount of $______________ to the Needham Historical Society to be used for _______________________.

Dues are for the calendar year. Please indicate if this is a new _____ or a renewal _____ membership.

Your Name _____________________________________________
Your Address _____________________________________________
City, State, Zip _____________________________________________
Telephone _____________________________________________

( ) Check here if your employer has a matching funds program.

Please print and mail with your check to:

The Needham Historical Society, Inc.
53 Glendoon Road
Needham, MA 02192
781 455-8860

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