|
***** Membership Information *****
To join or renew membership: |
|
|
Single $10.00 Family $15.00 |
|
|
Life $200.00 (single or
family) |
|
|
Your name will
appear in the membership list as given here. |
|
|
| Please print clearly |
-----------------------------------------------------------------------------------------------------
Name:Address:
City, State, Zip
Phone:
E-Mail:
Interests/talents: |
____________________________________________________________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
|
| Will you serve on any committee? yes__
no__ |
-----------------------------------------------------------------------------------------------------
Return this form with check payable to:
East Granby Historical Society
P.O. Box 188,
East Granby, CT 06026
If you have any questions, please
contact Zettie at:
zshook@cox.net | 
