Print, Complete and Mail this Form to the Walpole Historical Society

Walpole Historical Society, Inc

 

wpe2.jpg (9242 bytes)

 For the preservation of
our heritage.
PO Box  100   33 West St.. Walpole, Ma. 02081 2007

A NON-PROFIT ORGANIZATION

BD10255_.GIF (234 bytes)Student $2.00

 BD10255_.GIF (234 bytes)Individual $10.00   BD10255_.GIF (234 bytes)Family $15.00  BD10255_.GIF (234 bytes)Sponsor $25.00 BD10255_.GIF (234 bytes)Patron $50.00

Name ___________________________ Date ____________
Address  __________________________________________

Make checks payable to: WALPOLE HISTORICAL SOCIETY, INC.
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www.walpolehistoricalsociety.org