Membership Form
Member Type:
New
Renewal
Please choose a Haddam Historical Society Membership category:
Thankful - $2500
Patron - $1000
Supporter - $500
Benefactor - $250
Sustaining Supporter - $100
Contributing Supporter - $50
Family Supporter - $30
Individual Supporter - $20
Kid's - $10
Please tell us about yourself:
Name:
Address:
City:
State:
Zip Code:
Phone:
Fax:
Email:
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)
(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