West Stockbridge Historical Society
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Print out this page to use the form below or click here for a PDF printable copy. Use this application only if you are a new member or have a change of address. Otherwise, return to the Membership and Donation page to pay by credit card or PayPal.

Mail your application to:
The West Stockbridge Historical Society
P.O. Box 266
West Stockbridge, MA 01266
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Yes, I/We Want to Support the West Stockbridge Historical Society’s
Restoration of the Old Town Hall and Educational and Cultural Programs

 
Name/s (as I want it to appear in WSHS records, newsletters and mailings):
________________________________________________________________________________
Mailing Address: __________________________________________________________________
Town / City: ________________________________________ State: _____ Zipcode ____________
Preferred Phone: ________________________ Alternate Phone: ___________________________
Email (needed to receive newsletters, program and event notices, and other mailings):
_________________________________________________________________________________
 
Membership Categories (Note all levels are annually renewable except Life):
 Life (Household)…………………………………$500           Life Business…………………………………$500
 Patron (Household)……………………………..$125           Patron Business…………………………..…$125
 Supporting (Household)………………....……...$75           Business Member……………………...……$100
 Individual / Family (Household)……………......$25
 
Additional Donation Amount: $_______
   My donation is In Honor Of __________________________________________________________
   My donation is In Memory Of ________________________________________________________
Please notify the following of my gift (list name and complete address): _____________________
___________________________________________________________________________________
 
Method of Payment:
Please make your check out to West Stockbridge Historical Society and mail in this return envelope.
If you prefer to pay by credit card or PayPal, visit our website www.weststockbridgehistory.org.