FITCHBURG HISTORICAL SOCIETY


BUSINESS MEMBERSHIP FORM

A partnership with the Fitchburg Historical Society is a partnership that serves the needs of the community - your employees, clients, residents of Fitchburg and people all over the world. The Society collects, preserves, interprets and makes accessible the history of Fitchburg, ensuring that historic preservation plays a role in our community.

Membership Levels:

Business Member $100

Business Sponsor $250

Business Patron $500

Business Leader $750

All Business Members receive:
· Free use of research library for employees
· 10% discount at Society Gift Shop
· Quarterly newsletter and invitations to special events

Name of Company ______________________________________

Contact Person _________________________________________

Street _________________________________________________

City, State, Zip _________________________________________

Phone ________________ Fax ___________________________

Email _________________________________________________

I’ve enclosed a check payable to the Fitchburg Historical Society or

Charge my credit card account. (check one) MC      Visa     Expiration Date _______

Card # ________________________ Authorized Signature _________________________

Print this form and mail with the appropriate check or credit card information to:
Fitchburg Historical Society
P.O. Box 953 Fitchburg, MA 01420
or fax to (978) 345-2229)

The Fitchburg Historical Society is a tax-exempt organization under 501-C3. of the IRS and all contributions are tax-deductible to the full extent of the law. The membership year for businesses runs from April 1 to March 31.