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Summit Historical Society Membership Application

Your membership will help to support the work of the Society and is tax
deductible. It also enables you to receive our newsletter - The Historian

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SUMMIT HISTORICAL SOCIETY
Menbership Application

Dues for 2014-2015

__ Life $200

__ Benefactor $100

__ Patron $50

__ Family $25

__ Individual $20

     

__ New __ Renewal

__ Ms. __ Mrs. __ Mr. __ Mr. and Mrs.

Name ____________________________________


Street ____________________________________


City ________________________ State ________


Telephone _________________ Zip ____________

Checks payable to: Summit Historical Society
Mail to: Box 464, Summit, NJ 07902-0464


 Copyright © 2004 Summit Historical Society - All Rights Reserved
90 Butler Parkway, Summit, NJ 07901 • (908) 277-1747