To submit your GHS Membership Application by mail and pay by check ...

1. Print this page (or CLICK HERE for a PDF form)
2. Complete the form
3. Mail this form and your check to:
   

   Questions? Please contact Frank Stevenson, Membership Chairperson, at 401-568-4016.

   
   Glocester Heritage Society
   Member Services
   PO Box 269
   Chepachet, RI 02814

Name: 
            (please include spouse's name if joining as a family)
Street:

City, State, Zip:

Telephone:

E-Mail:
              (will be kept confidential)