Membership Application

Name:_____________________________________

Address:___________________________________

City:_________________ State:______ Zip:_______

Phone:_____________________________________

Email:______________________________________

Type of Membership (circle one):

Individual - $5 Family - $7 Business - $35

Please send this application and your check to:

Chester Historical Society

P.O. Box 34, Chester, NH 03036

Thank you for supporting the Chester Historical Society!

Phone: 603-887-4545 (leave message)

Email: chesterhistorical@yahoo.com

Website: www.chesterhistorical.org