Greater Astoria Historical Society Membership Form

Mail to:
Greater Astoria Historical Society
35-20 Broadway, 4th Floor
Long Island City, NY 11106

Membership type (Circle one):    Individual ($25.00)    Family ($40.00)    Senior/Student ($20.00)    Corporate ($250.00)

Name_________________________________________
Address_______________________________________
Address_______________________________________
City_____________________________________
State________________    Zip_______________
Phone___________________________________
E-mail Address____________________________

{Please check an area of interest}

I can help by:

_______Clerical
_______Public Relations/Booths at Fairs
_______Publicity
_______Membership
_______Development & Support
_______Photography/Graphics
_______Technology/Web
_______Maintenance
_______ Other____________________

My special area of interest is:

_______Walking Tours
_______Lectures
_______Education
_______Exhibits
_______Preservation
_______Research
_______Website
_______Other___________________