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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