Membership Form

Hampton Historical Society
PO Box 1601
Hampton, NH 03843-1601
603-929-0781
MEMBERSHIP FORM

Name(s)________________________________________ Date______________

Address________________________________________ Email_______________

City, State, Zip___________________________________ Phone_____________

ANNUAL MEMBERSHIP CATEGORIES
___Individual	$ 15.00	___Family	$ 25.00
___Student	$ 10.00	___Senior Citizen 65+	$ 10.00
___Business	$100.00	___Senior Couple 65+	$ 15.00

TOTAL MEMBERSHIP AMOUNT $_________

ADDITIONAL DONATION $_________

TOTAL AMOUNT ENCLOSED $_________

Make checks payable to the Hampton Historical Society and mail to the address above. The HHS is a non-profit organization recognized as such by the IRS.

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____ Check if you want to receive our quarterly newsletter by email notification (read it online as a PDF) instead of receiving it as a mailed paper newsletter (saves us money!) ---------------------------------------------------------------------------------------------------------

As with every organization, more volunteer time is always needed. We need you to help. Please indicate below your areas of interest and a Board member will contact you.

Museum volunteer (docent) ___      Building maintenance ___

Computer data entry ___      Membership ___

Education ___      Grant writing ___

Farm museum ___      Newsletter ___

Fire museum ___      Landscape/gardening ___

Schoolhouse ___      Library science ___

Genealogy ___      Photography ___

Museum store ___      Publicity ___

Refreshments ___      Video recording ___

Programs ___      Exhibit display ___

Fundraising ___      Cataloging ___

Other________________________      Unable to volunteer ___

TOTAL MEMBERSHIP AMOUNT	$_________
ADDITIONAL DONATION	$_________
TOTAL AMOUNT ENCLOSED	$_________
Make checks payable to the Hampton Historical Society and mail to the address above. The HHS is a non-profit organization recognized as such by the IRS.
--------------------------------------------------------------------------------------------------------- ____ Check if you want to receive our quarterly newsletter by email notification (read it online as a PDF) instead of receiving it as a mailed paper newsletter (saves us money!) ---------------------------------------------------------------------------------------------------------

Museum volunteer (docent)	___	Building maintenance	___
Computer data entry	___	Membership	___
Education	___	Grant writing	___
Farm museum	___	Newsletter	___
Fire museum	___	Landscape/gardening	___
Schoolhouse	___	Library science	___
Genealogy	___	Photography	___
Museum store	___	Publicity	___
Refreshments	___	Video recording	___
Programs	___	Exhibit display	___
Fundraising	___	Cataloging	___
Other________________________		Unable to volunteer	___