DUES NOTICE - Membership Renewal + Update Form

Please sign me up for another years worth of membership in the Pine Tree Chapter, ATHS. Membership in the American Truck Historical Society is required.

Name__________________________________________ Date__________________________________

Street__________________________________________ Phone: ( )__________________________

City___________________________________________ E-Mail________________________________

State___________________________________________ Zip___________________________________

Pine Tree Chapter Dues of $10.00 run from January to December.

Mail to: Pine Tree Chapter ATHS

C/O Jamie Mason

104 Falmouth Road

Falmouth, ME 04105