Worcester, VT Historical Society logo Worcester, VT Historical Society
clear

Membership
To join, renew or give a gift, please print  and complete this page, and mail with your payment to:
WHS at P.O. Box 329, Worcester, VT 05682:

Name___________________________________________________________

Address_________________________________________________________

City____________________________________State________Zip__________

Phone_______________________Email________________________________

Membership type: ___ Individual ___ Family ___ Life ___ Business
___ Sponsor ___ Patron ___ Benefactor

____ Gift (This is a gift membership from _________________.
Please send a gift acknowledgment in my name.)

Donation
_____ Donation in Memory of ___________________________________________.
(Donations made in Memory of loved ones make very meaningful contributions to the Society.)

Amount Enclosed ____________________