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 $40 payable in U.S. funds to:

The Marine Historical Society of Detroit

Mail to:

Vinny Cioletti
MHSD Treasurer

3416 Indian Trail Ln.
Toledo, OH 43617