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Preservation Society Membership

Membership in the Poland Spring Preservation Society is just one of the ways in which you as an individual can help to support the preservation and renovation of two very historic and important buildings.

POLAND SPRING PRESERVATION SOCIETY MEMBERSHIP FORM

Name _________________________________________________

Address _______________________________________________

City ___________________________________________________

State ________Zip ________________ Phone ________________

Email _________________________________________________

Would you like to be contacted about volunteer opportunities?

YES   NO

Annual Membership

(Due each January)

Supporting Member                                     50.00  _____

Family Membership                                    25.00  _____

Single Membership                                     10.00  _____

Student                                                      5.00   _____

Contributions are Tax Deductible and greatly appreciated!