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.

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 ___

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.

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	___