TheTicknor Society
- a fellowship of book lovers -		 P.O. Box 380342
Cambridge, MA  02238

2011 Annual Membership Form

Membership in The Ticknor Society is open to anyone who loves and reads books. Your continued support is what keeps us going strong. Annual dues are $25 per individual and cover the calendar year. Please print this form and include a check (we cannot accept credit cards) made out to The Ticknor Society and send it to The Ticknor Society, c/o Jonathan Bruno, P.O. Box 380342, Cambridge, MA 02238. For further information on your membership status, write the Ticknor Society at P.O. Box 380342, Cambridge, MA 02238 or call Heather Cole at 617-495-2449. For more information on the Ticknor Society, visit us on the web at www.ticknor.org.

~ PLEASE PRINT CLEARLY ~

Date:                                                        

Please check all that apply:

I want to support the Ticknor Society’s 10th Anniversary Symposium and Celebration “Boston and the Book Arts” on June 9, 2012. Here is my Additional Tax Deductible Contribution: $ _______________

My contact information has changed

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New member $25 annually   Renewal $25 annually  Joint $50

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