Beavertail Lighthouse Museum Association

Membership Enrollment Form

As of Fall 1996, individual membership dues were increased and the term of yearly membership was revised to coincide with the calendar year. New memberships or renewals received in 1997 will expire on December 31, 1998 (a bonus of 6 months).

I want to be an active participant of the Beavertail Lighthouse Museum Association.! I have indicated my areas of interest below:
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
Volunteer Museum Attendant
Building Maintenance Committee
Fund Raising Committee
Nominating Committee
Archives Committee
Museum Clean-up Committee
Group Tours Liaison
Publicity/ Newsletter Committee
Oral History Project
Holiday Open House
Naturalist Program Liaison
Other? ______________________
_____________________________
Suggestions _________________  
_____________________________

Please Check one

New Member [ ]
Renewal [ ]

for membership period ending 12/31/9_

New Dues Rates:

[ ] Individual, Life
[ ] Individual, One Year
[ ] Family, One Year
[ ] Student, One Year
[ ] Sponsor, One Year
[ ] Donation
$100.00
15.00
25.00
5.00
50.00
$_______

 

 

 

Name:
Address:


Phone:
_______________________
_______________________
_______________________
_______________________
_______________________
Mail To:
Beavertail Lighthouse Museum Association
P. O. Box 83
Jamestown RI 02834

Have you renewed your BLMA membership? If so, Thank you for your continued support. If not, please do so today. We need your help to keep the light shining.