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
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.
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.