memberform

	DIRECTIONS: Enter your information in the form below, clicking on the radio button that identifies your membership level. Print this page and send it along with your check or money order to Maine's First Ship, Box 358, Phippsburg, ME 04562. Click the Submit button at the bottom of the page to send an electronic copy of the form as well.

INDIVIDUAL MEMBERSHIP - MAINE'S FIRST SHIP

Trunnel ($30.00) Plank ($50.00) Frame ($100.00)
I am also including an additional donation of $to help reconstruct the VIRGINIA.
Contact Information
Name:
Address:
City:	State:Zip:
Telephone:
Email:

Your membership dues are dedicated to Operations and Educational Programs.
We are registered as a 501c(3) organization. Donations are deductible for income tax purposes.
Print this page to mail with your membership dues. Click "Submit" to send a copy of this form to MFS