The Cheshire Historical Society
Hitchcock Phillips House
43 Church Drive
Cheshire, Connecticut 06410 USA
Telephone: 203-272-2574
BECOME A MEMBER OF THE CHESHIRE HISTORICAL SOCIETY
Print out this form and mail it to:
The Cheshire Historical Society
P.O. Box 281
Cheshire, CT 06410
Name: ____________________________________________
Telephone Number: (_____) _________________
Mailing Address: ________________________________________
Town: ______________________________ Zip Code: _____________
E-Mail: _________________________@_____________
Enclosed dues of $ _____________ for membership in
"The Cheshire Historical Society, Inc."
Classification of Dues:
___ Individual $15.00
___ Family $20.00
___ Business / Professional $30.00
___ Supporting $35.00
___ Senior Citizen $10.00
___ Life $150.00
We wish to keep dues to a minimal amount. However, dues alone do not cover the society's operating costs. We hvae added a line for any additional contribution you may care to make.
___ Additional Contribution $__________
All contributions are tax deductible to the extent by law.
Call 203-272-2574 or e-mail edwinkania@cox.net for more information.
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