Membership form

Date:
Name:
Address:
Phone:		Email: _________________________ I wish to view newsletter electronically only.
Winter address if different:
	What months?
Please enroll me for:	1 year at $10 per person per year number of years at $10 per year = $ life membership $100 per person
	Enclosed also is a donation of $ for the museum. (optional)
I am interested in:	serving as a museum volunteer in summer serving on a committee.
My area of interest is:	baking for sales, events helping with yard sales, other fund raising events

Please return this form and any enclosures to:

Milbridge Historical Society
Main Street (Route 1)
Post Office Box 194
Milbridge, Maine 04658