word membership form - Historical Society of East Hartford

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Historical Society
of
East Hartford
__________________________________________________________________________
HSEH MEMBERSHIP FORM
Yes, I would like to become a member of the Historical Society of East Hartford. I want to help in maintaining
and showing East Hartford’s historic homes - Makens Bemont House (Huguenot House), Goodwin School
House and Burnham Blacksmith Shop, in providing programs to Society members and the public, in
supporting the newsletter, and in continuing the good work the Society does in preserving East Hartford
history.
.
MEMBERSHIP SEPT 1, 2014 – AUG 31, 2015
NAME:_______________________________________________PHONE:_______________________
ADDRESS:____________________________________________CITY, STATE, ZIP:______________
EMAIL:____________________________________________EMAIL NEWSLETTER? Y____N____
DUES ENCLOSED: $__________________
$15.00 / Individual, $20.00/All at 1 address,
$10.00 / Student,
$50.00/Patron
Make a check for membership out to: The Historical Society of East Hartford, Inc.
Mail check to: Historical Society of East Hartford, Inc., Membership, Po Box 380166, East Hartford,
CT, 06138-0166
__________________________________________________________________________
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