P.O. Box 865, Salem, MA 01970
(978) 745-0799
Contact Us!

If interested in commissioning a written history of your Salem house and having a plaque to identify its construction date and early owner(s), please fill in the blanks below.

The fee for a professionally prepared house history and plaque is $400.00. Please send a check for that amount, made out to Historic Salem, Inc., with this application, to the above address.

Name: _________________________________________________

Name of Owner (if different from above):

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Contact Information:

Home Phone: ______________________________

Work Phone: _______________________________

e-mail: ___________________________________

Street Address: _________________________________________

Date Purchased & From Whom:

__________________________________________________

Helpful Information about the Building (append copies if necessary):

______________________________________________________________

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