MEMBERSHIP APPLICATION
You are invited to join the Dorchester County Historical Society, Inc. and do your part to  preserve Dorchester County’s history and heritage.
1003 Greenway Drive, Cambridge, Maryland 21613
410-228-7953
   Categories

                                                     _____Individual                                     $25.00

                                                     _____Couple                                          $40.00

                                                      _____Family                                          $50.00

                                                      _____Patron                                          $75.00

                                                      _____Benefactor                                    $100.00

                                                      _____Life, Single                                   $500.00

                                                     _____Life, Couple                                 $1000.00

Please check the appropriate category and return the entire form, along with your payment to the DCHS office.  Thank you for joining.
 

Name:   ________________________________________________________________

Address:  _______________________________________________________________

City:  ______________________________State:__________________Zip:__________

Phone:  ______________________________

Email:  ______________________________
 
 

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