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40 Mile Point Lighthouse Society
Membership Application

(Please Print)

Name _____________________________________________________________________

Address ___________________________________________________________________

City _______________________________________________________________________

State __________________________________________ Zipcode _____________________

Phone/email _________________________________________________________________

Amount Enclosed ___________________________

  $20 Annual Membership

Signature __________________________________________________ Date _________________________

Make Check Payable to: 40 Mile Point Lighthouse Society

Mail to
40 Mile Point Lighthouse Society
P.O. Box 205
Rogers City, MI49779

The Society is a non-profit 501(c)(3) organization dedicated to the restoration and preservation of 40 Mile Point Lighthouse, complementary buildings & the Calcite Pilot House.  Our goal is to create and maintain a nautical museum.  Your donation is tax deductible to the extent allowed by law.