Membership Application

Belchertown Historical Association

MEMBERSHIP May 1, 2008 through April 30, 2009 print friendly PDF version

For you, your Family, as a Gift, in Memory or in Honor

The Belchertown Historical Association, a non-profit organization, exists primarily on income from your membership, event admissions, contributions and bequests.

A membership entitles you to: Unlimited visits to the Stone House Museum complex (excluding special events) during the membership year; Subscription to the Association Newsletter; Discounted admission to all museum events and special member privileges when announced. While these are significant benefits, the real benefit is the sense of belonging to an organization which is preserving our past for our future. Make history with us!

Joining is easy and affordable. Just send us the membership form with a check payable to BHA. We'll do the rest!

Check one: __ Renewal Membership __New Membership

Name: _________________________________________________________________________

Address: ________________________________________________________________________

Phone: __________________________________Email: _________________________________

If this is a Gift Membership, please indicate who the gift is from:

_______________________________________________________

Membership Categories
   q Student (under 18) $5
   q Senior (65+) $8
   q Individual $15
   q Family $30
   q Friend $50
   q Patron $100
   q Benefactor $250

Corporate Matching
Program—Double your
tax-deductible donation by
attaching a matching gift form
from your employer
        Dues enclosed (please check off categories on left): $_________

        Additional Membership Donation: $_________
           If Membership donation is in Honor or in Memory, please so indicate:
________________________________________________

Send completed form and tax-deductible check (payable to Belchertown Historical Association) to the address below or hand deliver to a Board Member.

The Belchertown Historical Association
Maple Street (Route 202) PO Box 1211,
Belchertown, MA 01007-1211

Please consider including Belchertown Historical Association in your estate plans.

Membership benefits subject to change.

Please consider getting involved in activities of the Association Just tell us about any special talents you may have and/or the times for us to contact you to discuss options available. You will find this work fun and rewarding.