New
Renewal
Please enter my Haddam Historical Society Membership in the following category:
Benefactor
$250.00
Sustaining
$100.00
Contributing
$ 50.00
Family
$ 30.00
Individual
$ 20.00
Senior Citizen
$ 10.00
Student
$ 10.00
Business
$ 50.00
Name:
Address:
City:
State:
Zip Code:
Phone
Fax:
Email 1:
Email 2:
Membership to the Haddam Historical Society is tax deductible
My employer will match my membership contribution (Ask your human resources if your company participates in a matching gift program)
Please print this form and mail it with your check payable to:
The Haddam Historical Society · PO Box 97 · Haddam, CT 06438
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