Bay Shore Historical Society Annual Membership 
Membership in the Bay Sore Historical Society supports the preservation of the history of Bay Shore, the maintenance of the c. 1820 Gibson-Mack-Holt House and the programs and services the Society offers.

For membership, please complete the application, print out this form, enclose your check payable to the Bay Shore Historical Society and mail the form and check to:

Bay Shore Historical Society
22 Maple Avenue
Bay Shore, NY 11706
Attention: Membership
Annual membership is from January 1 through December 31
I would like to renew my membership
I would like to become a member
Life Time Membership - $250.00
Business Membership - $25.00
Individual Membership - $10.00
Senior Citizen Membership - $8.00
Student Membership - $5.00
Check here if you have enclosed an extra donation for the maintenance of the c. 1820 Gibson-Mack-Holt House.