APPLICATION FOR MEMBERSHIP
Please print this form, complete, and mail to the address below.
I am interested in joining the Amity & Woodbridge Historical Society.
NAME ______________________________________________
ADDRESS _____________________________________________
CITY _______________________________________________
STATE ______________________________________________
ZIP CODE _____________________________________________
EMAIL _____________________________________________
Please mark a circle for your membership type:
- Student..........$5.00
- Individual......$15.00
- Family..........$25.00
- Supporting......$50.00
- Life...........$150.00
Make check payable to:
Amity & Woodbridge Historical Society
and mail with completed Application to:
1907 Litchfield Turnpike
Woodbridge, CT 06525
Membership Year: __________