TREASURER, LEBANON HISTORICAL SOCIETY
P.O. BOX 18
LEBANON, NH 03766
Please enroll me as a member. I enclose one year’s dues (circle one)
$10.00 (Youth, 18 and under)
$20.00 (Adult)
$15.00 (Senior);
$25.00 (Senior couple)
$30.00 (Family)
$150.00 (Life membership)
NAME__________________________________________
STREET_________________________________________
CITY/TOWN_____________________________________
STATE_________________________ZIP______________
E-MAIL_________________________________________
( ) This check also includes a donation.
Lebanon Historical Society 