Sand Lake Historical Society

Join/Renew Your Membership

NOTE: Beginning in May 2012, individual dues will be $10.00 and family dues $15.00. You may also become an Individual Life Member for $100.00 or Family Life Members for $150.00.

Name _______________________________________

Address _____________________________________

________________________________________

Telephone ___________________________________

E-mail _______________________________________

Interests _____________________________________

Print this page and mail, along with $3 student (13-22), $5 for individual, $8 for family membership -- check payable to Sand Lake Historical Society, to:

Sand Lake Historical Society
PO Box 492
West Sand Lake, NY 12196

or download this form in .PDF format