FITCHBURG HISTORICAL SOCIETY

INDIVIDUAL & FAMILY MEMBERSHIP FORM

We invite you to be a member of the Fitchburg Historical Society! Your membership supports:

• our mission to collect, preserve, interpret and make accessible the history of Fitchburg
• cataloging our collections into a computerized system for greater accessibility
• our interactive, hands-on educational programs with the Fitchburg students
• redesigning our building to better use the space and create accessibility

All Members receive:

• Free use of research library
• 10% discount at Society Museum Shop
• Quarterly newsletters
• Invitations to special events

Name ______________________________________ Please mark your choice.

Street ______________________________________ Individual $30

City, State, Zip _______________________________ Family $50

Phone ________________ Fax _________________ Contributing $50

Email _______________________________________ Supporting $100

____ I have enclosed a check payable to the Fitchburg Historical Society.
____ I authorize you to charge my credit card account.

Type of card Visa   MC   Card #_______________________ Expiration Date ____

Authorized Signature _______________________________________

We look forward to your membership. Thank you! The Fitchburg Historical Society is a tax-exempt organization under 501.C.3. of the IRS, and all contributions are tax-deductible to the full extent of the law. The membership year for individuals now runs from September to August.

Become a Volunteer

Please mail or fax (978-345-2229) this form with the appropriate check or credit card information to:

Fitchburg Historical Society 50 Grove, St., P.O. Box 953 Fitchburg, MA 01420