812 S. Ann St. Baltimore,
MD 21231 phone: 410-675-6750 fax: 410-675-6769 email:
info@preservationsociety.com
_____Basic $25/year -or- $45/ 2year
_____Contributing $50/year -or- $85/ 2year
_____Harbor Hundred $100/year -or- $185/ 2year
_____Captain's Circle $250/year
_____Corporate $500/year
Name:________________________________________________________________________________
Address:______________________________________________________________________________
City:_____________________________________State:_______________Zip:_____________________
Phone (day):_________________Phone(eve/cell):___________________Email:_____________________
credit card:_________________________________________
exp date:____________________________
Please make check payable to
the Preservation Society, print this form and mail to 812 S. Ann
St. Baltimore, MD 21231.
Your membership dues are tax deductible to the extent allowed
by law.