Membership Application

HSOY Membership Application


Joining the Historical Society of Old Yarmouth is a great way to ensure the continued preservation of Yarmouth's heritage and helps us to share our rich past with the larger Cape Cod community and the world. Please print out, complete the application form and send it with your check to: Membership HSOY P.O. Box 11 Yarmouth Port, MA 02675 Membership Levels (Please check one:)

Individual	$20.00	________
Family	$30.00	________
Patron	$50.00	________
Business	$35.00	________
Business Patron	$50.00	________
Business Sponsor	$100.00	________

Name:	_______________________________________________________
Street Address:	_______________________________________________________
Mail (if different):	_______________________________________________________
City, State, Zip:	_______________________________________________________
Telephone:	_______________________________________________________
Volunteer Interests:	_______________________________________________________

Do you have a permanent winter address? We can mail directly to you during the winter if you wish. Don't miss newsletters, announcements, etc. Indicate address, date to start, date to end.
Address:	_______________________________________________________
City:	_______________________________________________________
State:	_______________________________________________________
Zip:	_______________________________________________________
Start Date:	___________________________
End Date:	___________________________

Checks should be made out to:
The Historical Society of Old Yarmouth

Donations are tax deductible.