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BE A MEMBER of the Townsend Historical Society

P.O. Box 95 Townsend, MA 01469

Name _________________________________________________ Address _______________________________________________ _______________________________________________

Email ____________________________ Phone ______________

____ Individual ($20) ____Family ($30) ____Supporting ($50) ___Patron ($100) ____ Senior ($10) ____Student ($10) ____Business ($100) ___Patron Business ($200)

___I’d like to Volunteer _____ Additional Gift