GREAT CRANBERRY ISLAND HISTORICAL SOCIETY
GCIHS
Cranberry
Hitty
SupportMembership/Donation Form
Yes, I want to help keep Great Cranberry Island Historical Society and Cranberry House a vital part of island life! Sign me up for membership, and/or accept my donation (check or stock certificates).
| Mail: GCIHS, POB 12, Cranberry Isles, ME 04625 Web: gcihs.org | ||||||
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| Name |
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| Address | ||||||
| Telephone Summer |
Telephone Winter | |||||
| Email Summer |
Email Winter |
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| Circle Membership | Individual $15 |
Family $25 |
Contributing $50 |
Supporting $100 |
Benefactor $500 |
Sponsor $1000+ |
| Plus, Donate to a Fund? | Music ________ |
Movie ________ |
Program ________ |
Operating ________ |
Endowment ________ |
General ________ |
| Circle other Donations? | Window $150 |
Door $300 |
Memorial Rock $500 |
Mem.Plaque $1000 |
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| Comments or Suggestions? | ||||||
Thank You!
- - - - - cut here for receipt - - - - - - - - - - - - - - - - - - - - - - - - -
Keep this part for your records.
- Receipt -
GCIHS,
POB 12, Cranberry Isles, ME 04625
GCIHS, registered under the name "Great Cranberry Historical Society" is a publicly-supported 501(c)(3) organization. Contributions are tax-deductible.
US Dept. of the Treasury, Fed. Employer ID# 01-0484796.
D-U-N-S® #14-647-7752
On the Internet at: gcihs.org
| Date | Amount $ |
| For |
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Thank You!
Instructions
Print and mail this form to us. We'll mail back a receipt upon request.
CHECKS: Made out to "GCIHS" (Great Cranberry Island Historical Society.)
STOCKS: Deposit to GCIHS Account #ABM-051459, DTC #0443, Pershing Clearing House. Or get in touch with us and we'll arrange the details.
GCIHS is a non-profit 501(c)(3) organization. Memberships and donations are tax-deductible.