MEMBERSHIP APPLICATION
The Rebecca Nurse Homestead Preservation Society is an auxiliary of the Danvers Alarm List Company, Inc. Membership in the Society is open to anyone interested in aiding the development and preservation of the Nurse Homestead. Members are admitted to the property, enjoy an annual membership social, receive a periodic newsletter and notices of special events.
Name:_______________________________________________
Address:_____________________________________________
City:_____________________State:______Zip:_____________
____ Individual ($25)
____ Family ($50)
____ Sponsor ($100)
____ Patron ($250)
Donation to the Nurse Homestead Restoration in the amount of: $____________
Methods of Payments: Mastercard, Visa and Check. Go to "Print This Form" to fill in the information.
Please make checks payable to:
Danvers Alarm List Company, Inc.
149 Pine Street
Danvers, MA 01923
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