NEW BEDFORD PRESERVATION SOCIETY
MEMBERSHIP REPLY FORM

CORPORATE MEMBERSHIP INDIVIDUAL MEMBERSHIP
Greek Revival - $100 Senior (59 + older)/Student - $15
Italianate - $250 Individual - $20
Georgian Revival - $500 Family/Dual - $30
Queen Anne - $1,000 Associate - $40
Octagon - $2,500 Contributing - $75
Gothic - $5,000 Patron - $100

NAME
STREET ADDRESS
CITY
STATE / ZIP
PHONE / FAX
EMAIL (optional)
VOLUNTEER (Y / N) _____

Please print out this form and submit with payment to:
New Bedford Preservation Society
P. O. Box 1618
New Bedford, MA 02741
For further information, please call 508/997-6425

Thank you!

New Bedford Preservation Society 2007..