Blackstone Canal Conservancy, Incorporated

Membership in the Blackstone Canal Conservancy is open to all who are interested in the canal and its preservation.

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MEMBERSHIP APPLICATION

Mail to: Blackstone Canal Conservancy

               16 Ballou Road

               Hopedale, MA 01747-1833

Names:                                                                                              

Address:                                                                                            

Town/State:                                                                                       

Zip +4:                                                                 

Phone number:   (              )                                    

 

Annual Dues: Student         $ 7.00

                   Individual          10.00

                      Family           15.00

              Organization          25.00

Additional Donation: .General:                                  

                    Canal Boat fund:                                 

                    Canal Lands Fund:                              

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Revised: 12/16/03