Membership

Middletown Historical Society Membership Enrollment

Name      ________________________________________________________

Address  ________________________________________________________

               ________________________________________________________

Phone     __________________     E-mail Address  _____________________

Membership Year  __________

Annual Dues:     $10.00 — Individual            $20.00 — Family

PRINT THIS PAGE AND MAIL ALONG WITH YOUR CHECK PAYABLE TO OUR MEMBERSHIP SECRETARY:
          Kathleen Kobus
          152 Springmill Drive; Middletown, DE; 19709

For information call (302) 378-7466

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The form can be downloaded through the below Word Document attachment:

 Membership Form.doc