Membership Form – Maynard Historical Society

	I would like to become a member of the Maynard Historical Society
Name:
Address:
Telephone:
Email:
Please enclose with check to Maynard Historical Society, 195 Main Street, Maynard, MA 01754 Your email address will not be shared with any other organization or business.

Dues payable on September 1, annually
Individual:	$15
Family:	$20
Institution:	$40