MEMBERSHIP APPLICATION FORM
Membership includes a subscription to Historical Footnotes and free
admission to our historic buildings and library.
Please add/renew my/our memberships(s) in the following category:
Annual Memberships:
__ Individual $30 __ Family/Dual $50
__ Contributing $100 __ Sustaining $200
__ Benefactor $500
Life Memberships:
__ Individual $1,000 __ Dual $1,500
My membership will be matched by my employer:
Name of company _______________________
Payment may be made by check or credit card:
Enclosed is my check in the amount of $ _______ for the category indicated.
Please charge my membership to my credit card:
__ Mastercard __ Visa
Card # ___________________________
Exp. Date ______
Signature _______________________________
Name (please print) _______________________
Mailing Address:
Name _______________________________________
Address ______________________________________
City/State/Zip __________________________________
Telephone: (Home) ____________ (Other) ____________
E-mail: ________________________________________
Membership Benefits
• Free admission to the Old Lighthouse Museum
• Free admission to the Capt. Nathaniel B. Palmer House
• Free admission to the Woolworth Historical Library
• Subscription to our award-winning quarterly newsletter, Historical
Footnotes
• Invitations to special events
• Book talks and presentations
• Voting privileges at the Annual Meeting
Please mail your completed form to:
The Stonington Historical Society, Inc.
P.O. Box 103
Stonington, CT 06378-0103
Thank you for helping us preserve Stonington's heritage! |
