Registration Form
(copy and print )
Registration Form
Name: ________________________________________________
Address: ______________________________________________
Phone Number: ________________________________________
Email Address: _________________________________________
Payment is due at the time of registration and is non-refundable. Refunds, less $5 fee, will be given only if we can fill
your spot from a waiting list.
Space is limited, so register soon!
Please make checks payable to Searsport Historical Society and write “Crop” in the memo line. Mail checks and
registration form to:
Searsport Historical Society
Attn: Jiffy Kelley-Young
PO Box 28
Searsport, ME 04974
Can’t wait to see you there!!