| ENROLL NOW ! (Click here to return to the Walpole Historical Society's Web Site) Print this form, fill it out and mail it to: WALPOLE HISTORICAL SOCIETY Post Office Box 1724, 33 West Street, Walpole MA 02081 Please enter my membership for one year . DATE_________________ NAME(s) _____________________________________ _____________________________________ ADDRESS (Street, City, State, ZIP) ___________________________________________________________ ___________________________________________________________ TELEPHONE________________________e-mail__________________ Individual $10.00 Family $15.00 Patron $50.00 Make check payable to: WALPOLE HISTORICAL SOCIETY |