The Great Cranberry Island Historical Society
Membership Application
Incorporated on June 22, 1993, the Great Cranberry Island Historical Society is dedicated to the collection, preservation, presentation, and study of the history of Great Cranberry Island, and its relationship to the surrounding islands.

To start or renew your membership in the Great Cranberry Island Historical Society, please print this page, complete the form, cut off the top part (keep the bottom for your records) and send it with your tax-deductible check to the address below.   Please make out checks (in U.S. Dollars) to "Great Cranberry Island Historical Society" or "GCIHS."
Name____________________________________________________________________
Address_________________________________________________________________
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Telephone (Summer)______________________ (Winter)_______________________
E-mail address__________________________         _______________________

Membership category (circle one)
    Individual  $15         Family   $25      Associate  $35
  Contributing  $50     Supporting  $100     Benefactor $500
        Angel $1000 (or more)

Comments/Suggestions?__________________________________________________
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 - - - - -  cut here for receipt - - - - - - - - - - - - - - - - - - -
                                       Keep this part for your records.
- Receipt -
The Great Cranberry Island Historical Society
POB 12, Cranberry Isles, ME 04625

Registered under the name "Great Cranberry Historical Society"
A publicly-supported 501(c)(3) organization.  Contributions are tax-deductible.
US Dept. of the Treasury, Case #113348005, Employer ID# 01-0484796.
D-U-N-S® #14-647-7752
On the Internet at:  gcihs.org
Received from______________________   Amount $_________________________
Date_______________________________   Signed __________________________
Thank You
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