YES!! I would like to be a member of the

LAKEWOOD HISTORICAL SOCIETY,

 and receive as a gift, the

2016 Lakewood Keepsake Calendar.

Please enclose your tax-deductible check for $25.00

for your annual membership

or LIFETIME MEMBERSHIP for $200.00

made payable to: 



"LAKEWOOD HISTORICAL SOCIETY"

c/o Taylor

1533 Rt. 88

Brick, NJ 08724

Name:______________________________________________________

Address:____________________________________________________

Town:  _____________________________________________________

State:_______________________________________________________

Zip: ________________________________________________________

Phone #: ____________________________________________________

E-mail address: _______________________________________________