The Massachusetts Historical Society | Supporting MHS

Mail-In Contribution Form
You can fill this form out online, and then print and mail it in, or print out a blank copy to fill in by hand.

Yes, I would like to make a gift to the Massachusetts Historical Society annual Fund.

1. Name & Mailing Address

Please make this contribution
In honor of: In memory of:

Name:
Please send a notification to:
Name:
Address:
City/State/Zip:
Phone:
E-mail:
Recipient will not be added to our e-mailing list without their consent.

2. Contribution Amount
$2,500
$1,000
  $500
  $250
  $100
   $50
Other:

3. Payment Information:

Visa MasterCard AMEX DISCOVER Check Enclosed (Checks payable to Massachusetts Historical Society)
Name on Card:
Credit Card #:
Expiration Date: (MM/YYYY)

Please mail this form to:

  Development Office
   Massachusetts Historical Society
   1154 Boylston Street
   Boston, MA 02215

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