Grand Isle Historical Society, Inc.

Post Office Box 23

Grand Isle, Vermont 05458

Application or Renewal of Membership

Per person – please check category

________ Annual $10

________ Family $25 annually

________ Patron $50 annually

________ Lifetime $150

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Donations may be made in memory of a loved one and will be acknowledged in a Remembrance Book placed in the Schoolhouse

Name __________________________ Amount $____________

Name(s) _________________________________________________

Address __________________________________________________

Email __________________________________________________

Phone Number __________________________ Date __________________

Please make check payable to Grand Isle Historical Society and mail to :

Grand Isle Historical Society

P.O Box 23

Grand Isle , Vt

Your information will not be given or sold. Your privacy is protected.