2016 MEMBERSHIP FORM (May 1, 2016 - April 30, 2017)      New___ Renewal___ 
 
Please Print your contact information: 
 
Name: First_____________________________Last_________________________________ 
 
Other names if Family Membership: ______________________________________________ 
 
Primary Address______________________________________________________________ 
 
City___________________________ State_____________ Zip Code___________________ 
 
Telephone______________________________Cell_________________________________ 
 	 
SUMMER or OTHER ADDRESS:________________________________________________ 
 
City___________________________ State_____________ Zip Code___________________ 
 
EMAIL ADDRESS (please print legibly) __________________________________________ 
 
Single Membership $15.00         _________                   Family Membership $30.00_________ 
 
Sustaining Membership $100.00 _________ 
 
Please make check payable to MFM, and mail to: MFM, PO Box 154, Rangeley, ME  04970 
(If you would like a membership card, please include a SASE with your membership form) 
 
Your membership ensures that we will endure and accomplish our goals. With your membership, we hope you will help to support MFM’s efforts, in whatever way you are able and be part of a team that works together.  

Indicate those areas where you could provide some time and talent: 
 
   ___Grounds Up-keep 	    ___Building Maintenance   	 	    ___ Manpower for Events    
   ___Trail Development       ___Event Planning   	 	 	    ___ Fund Raising  	  
   ___Docent Volunteer 	    ___Organizing Museum Archives   	    ___ Baking/Cooking 
   ___Writing and Publishing  ___Filing/Office Work/Secretarial Tasks  ___ Art Work Display 
   ___Organizing Displays      ___Photographing/Video Productions   
 
Maine Forestry Museum, PO Box 154, 221 Stratton Road, Rangeley, ME 04970 
 (207) 864-3939    www.MaineForestryMuseum.org