Name: _______________________________________________________________________________


Address: _____________________________________________________________________________


City: _________________________________________________________________________________


State/Province: _____________________________ Postal Code: ______________________________


Country:___________________________________


Area of Interest:______________________________________________________________________
(To be used in planning future issues of the Historian)


Amount Enclosed: _______________________

___This is a Gift Membership (Print out a Gift Certificate HERE)

Please make your check for $30 payable in U.S. funds to:

The Marine Historical Society of Detroit
Mail to:
Robert T. Pocotte, Treasurer
Department W
606 Laurel Ave.
Port Clinton, Ohio 43452