The classifications for membership are:
NAME: ______________________
ADDRESS: ___________________________
CITY: ____________ STATE: __ ZIP: _______
PHONE: __________ DUES ENCLOSED: $ ______ May we count on you to serve on one of our committees ? : Y __ N __ MAYBE __ Please give us your ideas for speakers at future meetings : ___ Would you be willing to write an article for the HISTORIA : ___ Your comments and suggestions are welcomed : _______________
Northampton Township Historical Society PO BOX 732 Richboro, PA 18954-0732
Thank you for your support