Please sign me up or renew my membership
in the VCBS:
(Business, Organization or Municipality please provide
name of contact person)
New Member ___ Renewing ____ Gift ____
Name:_______________________________
____________________________________
Street:_______________________________
City_________________________________
State/Zip_____________________________
Phone#___________________________
E-mail____________________________
Check type of membership you want:
__ Student ($8) __ Individual ($10)
__ Family ($15)
__ Life-single ($150) __ Life-couple ($200)
__ Business/Organization/Municipality ($15)
__ Please send my newsletter in PDF format
Check type of donation:
__ Palladio ($2) __ Palmer ($5) __ Hale ($10)
__ Burr ($25) __ Powers ($50) __ Town ($75)
__ Tasker ($100) __ Long ($150)
__ Paddleford ($200) __ Whipple ($250)
I volunteer to participate in the following
program(s):
__ Adopt-a-bridge __ Newsletter Staff
__ Reporter __Events Committee
__ Historical Committee __ Membership Committee
__ Publicity Committee __ Legislation Watch
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All Memberships include quarterly news letter.
Memberships valid to end of current calendar year.
Dues and Donations are used to promote
preservation of Vermont's covered bridges.
Make all checks payable to the Vermont Covered
Bridge Society.
Mail to:
The V.C.B.S., Inc.
Attn: Treasurer
P.O. Box 267
Jericho, VT 05465-0267
Letters to the Society Should Be Addressed To:
The V.C.B.S., Inc.
Attn. Corresponding Scty.
P.O. Box 97
Jeffersonville, VT 05464-0097
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