P.O. Box 189
Newtown, Connecticut 06470
info@Newtown
History.org
Phone:
203-426-5937
The Newtown Historical Society Membership Form
Please print this form and send it to us with your check if you would like to become a member of the Historical Society.
I wish to:
Become a member of the Newtown Historical Society
Renew my membership in the Newtown Historical Society
Annual Dues
Membership year: July 1st - June 30th
One (1) Year Individual
$20
One (1) Year Family
$30
Organization
$25
Sustaining
$50
Patron
$100
Corporate
$250
Life Membership
$300
My company will match my gift. Form enclosed.
I wish to volunteer. Form enclosed.
Name:
Street:
City/State/Zip:
Telephone:
E-mail:
Send the form and check to Newtown Historical Society,
P.O. Box 189, Newtown, CT 06470.
© 2004 The Newtown Historical Society. All rights reserved.