Complete print out this form, complete it, and mail it with your payment to:
Merrimack Historical Society
P.O. Box 1525
Merrimack, N.H. 03054
|Single Membership||$15.00 / year||Subtotal|
Membership (2 persons from same household)
||$25.00 / year|
|Student & Senior Memberships (Seniors are 60 years or older)||$10.00 / year|
|Life Membership||$100 for 60+ | $150 under age 60|
|BUSINESS Membership||$50.00 / year|
Enclosed is my check/money order for __________.
If you wish to make a gift of membership, simply add a note on this form who
is the recipient, and how to contact them.