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The BALCH HOUSE ASSOCIATES

Beverly Historical Society

117 Cabot Street

Beverly, MA 01915

(978) 922-1186
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The Balch House Associates     Beverly Historical Society & Museum 117 Cabot Street Beverly, MA 01915 (978) 922-1186

MEMBERSHIP FORM

Student & Senior..$20  Single..$25  Family..$40  Patron..$100 Sponsor $250

Benefactor $500        Life Member..$1000 (available for those over 65 years of age)

Corporate Memberships:  Sponsor.......$125     Patron.......$500    Benefactor......$1000

Circle one of above categories:

Name:_______________________________________________________

Street:_________________________________________________________________

City:____________________________State:____    Zip:____  - ____  Country:_____

Charge to my:          MasterCard         Visa     [circle one]

Card Number:_________________          Exp.: Date:____/____/____

Signature:________________________________________

Or by check:  Pay to the order of:   The Beverly Historical Society  

Mail to:Beverly Historical Society, 117 Cabot St., Beverly, MA 01915

Gift Family Membership

Instead of giving that distant cousin another tie he won’t wear, why not

give him a real family gift. The gift of generational connection. Many of

our Balch members forget that those distant cousins they see only at the

holidays are in many cases, also descendants of the "old planter" John

Balch of Beverly, MA. Why not surprise  them this year with a gift

membership to the Balch House Associates. Maybe this will inspire a

new family historian?

Yes! I want to give a Balch Family Membership to my relation listed

below!

My relatives name is ______________________________________________

His/her mailing address is Street: ___________________________________

City ___________________________________ State ______ Zip ____ - ____

My name is _____________________________________________________

Membership Level [circle one]  Student & Senior $20        Individual $25

Family $40  Patron $100  Sponsor $250 Benefactor $500 Life $1000

Mail to: Beverly Historical Society, 117 Cabot St. Beverly, MA, 01915, along

with a check for the amount circled above, and we will send a card notifying

your relative of your thoughtful gift.