Join The Douglaston & Little Neck Historical Society

Please print this page, fill it out and mail it along with your check to: Douglaston/Little Neck Historical Society 328 Manor Road Douglaston, NY 11363

Please enroll me as a new member, or renew my membership in the Douglaston/Little Neck Historical Society. MEMBERSHIP CATEGORY: (Check one) __ Annual, $25 __ Institutional, $100 __ Contributing, $150 __ Life, $250 one-time payment __ Benefactor, $500 one-time payment   _______________________________________________________ Name _______________________________________________________ Address _______________________________________________________ Address _______________________________________________________ Telephone Number _______________________________________________________ Email Address I would like to serve on the: __ Membership committee __ Archives/Historic Research committee __ Events/Entertainment committee __ Publication/publicity committee __ Architecture committee