Join The Douglaston & Little Neck Historical Society

Please print this page, fill it out and mail it along with your check to: Lori Finck / Treasurer Douglaston/Little Neck Historical Society 372 Grosvenor Street 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) __ Regular, $25 __ Contributing, $100 __ Business, $150 __ Life, $250 one-time payment __ Benefactor, $500 one-time payment (with Trustee approval)   _______________________________________________________ Name _______________________________________________________ Address _______________________________________________________ Address _______________________________________________________ Telephone Number _______________________________________________________ Email Address I would like to serve on the: __ Research & Archive committee __ Architecture committee __ Events/Entertainment committee __ Publications committee __ Community Relations committee