Woodstock Historical Society Membership Application

Name:_________________________________________________________________________

Address:_______________________________________________________________________

Telephone: _________________________   
E-Mail Address:__________________________


I wish to make a contribution of  $ ______________ in addition to my membership dues.

Membership $20.00 per year ________Per Person _______ Total enclosed: $ __________

Life Membership $500 ___________ Per Person


Help us know your areas of interest in the activities of the Woodstock Historical Society:

Programs___ Collections___ Exhibits___ Genealogy___ Building & Grounds Care___

Newsletter___ Hospitality___ Special Events___ WEB___

Other_________________________________________

Computer data entry (office use only): ________________
Membership (office use only): __________


Print this form, fill it out and mail with your check to:

Woodstock Historical Society
ATTN: Nancy Gale
PO Box 65
Woodstock, CT 06281

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