Mt. Savage Historical Society Membership Renewal Form            

Name______________________________________Phone_________________

Mailing Address____________________________________________________

________________________________________________________________

Email Address_____________________________________________________

Dues  $7.00 per member______________Extra Donation_________________

Comments/Suggestions: 

Check here if you would prefer to have your newsletter emailed __________

We need help with different events and projects that we hold throughout the year.
Please indicate here, if you would be able to help in any capacity:

 ____________________________________________________________________

Please return this form, along with $7.00 per member to:

Mt. Savage Historical Society, PO Box 401, Mt. Savage, MD 21545