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PORTSMOUTH HISTORICAL SOCIETY
JOHN PAUL JONES HOUSE MUSEUM
PO Box 728
Portsmouth, New Hampshire 03802-0728

Member Information
[Please print]

Name_________________________________________________

Street_________________________________________________

City____________________________________

State __________ Zip ________________

Phone_____________________________

E-mail __________________________________

Annual Membership Dues for 2007 - 2008

Student
(over age 14, with ID)
$5-24
Friend
$25-49
Household
$50-99
Sponsor
$100-249
Patron
$250-499
Benefactor
$500-999
Exemplar
$1000 and up
Business
$100 and up


Please make checks payable to: Portsmouth Historical Society

Thank your for your continued support!
PORTSMOUTH HISTORICAL SOCIETY
We Tell Portsmouth Stories