Hseh membership form



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Historical Society of East Hartford
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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.


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Fig. 2
EMBERSHIP SEPT 1, 2016 – AUG 31, 2017


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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