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The Newtown Historical Society Membership FormPlease print this form and send it to us with your check if you would like to become a member
of the Historical Society.
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| Become a member of the Newtown Historical Society | |||
| Renew my membership in the Newtown Historical Society | |||
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Annual Dues
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| One (1) Year Individual |
$15 |
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| Two (2) Year Individual |
$30 |
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| One (1) Year Family |
$20 |
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| Two (2) Year Family |
$40 |
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| Organization |
$25 |
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| Sustaining |
$50 |
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| Patron |
$100 |
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| Corporate |
$250 |
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| Life Membership |
$200 |
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| My company will match my gift. Form enclosed. | |||
| I wish to volunteer. Form enclosed. | |||
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Name: |
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Street: |
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City/State/Zip: |
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Telephone: |
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E-mail: |
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| Send the form and check to
Newtown Historical
Society, P.O. Box 189, Newtown, CT 06470. |
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