All memberships are for one year, effective the month received by the Pownal Historical Society, Inc.
Memberships are tax deductible to the extent allowed by law.
Name:______________________________
Address:___________________________
City:______________________________
State:___________________Zip:______
Phone:______-______-_______________
eMail Address:__________________________________
I am enclosing $________for my annual membership.
My membership is (circle one) New / Renewal
I am enclosing an additional contribution of $___________
Please make checks payable to
Pownal Historical Society, Inc.
and mail to
P.O. Box 313, Pownal, VT 05261