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    A Civil War Encampment

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    Seymour Historical Society

    P.O Box 433 Seymour, Conn. 06483 

    2013 Membership Form



    NAME: ­­­­­­­­­­­­­­­­­­­__________________________________      E-MAIL ______________________________


    ADDRESS: _______________________________      TOWN/ZIP CODE _____________________


    MEMBERSHIP TYPE: _________________________


    $25 Annual Individual         $15 Annual Senior (Over age 62)           $10 Annual Junior (Under age 18)

    $45 Annual Family               $150 Life Membership (Individual)       $200 Life Membership (Business)


    ADDITIONAL DONATION:  _________   (Those who give at least $30 ABOVE the cost of  membership dues total will receive a Seymour Historical Society tote bag OR a T-shirt. Please indicate your choice:)


    Tote Bag: ________        T-Shirt: ______   (Circle color/size)   Red    Black      S      M        L         XL   



    I would like to do volunteer work for the Seymour Historical Society:


    ______ DOCENT: Serve as a guide when museum is open to public or during programs.


    ______ INTERIOR MUSEUM ASSISTANCE: Light cleaning, such as vacuuming and dusting.


    ______ PROGRAMS: Help choose guest speakers and distribute promotional materials before programs.


    ______ CURATOR ASSISTANCE: Help organize and set up exhibits.


    ______FUNDRAISING: Help plan events that raise money for the Society.


    ______RENOVATION: Help organize work by contractors and oversee their work.


    ______ YARD WORK: Help maintain our property by doing weeding, leaf pick-up, etc.


    ______ EDUCATIONAL OUTREACH: Teach students about Seymour history.


    ______ I have other skills that could help the Seymour Historical Society. They are:


    The Society mails out flyers announcing upcoming programs. Do you wish to receive these?


    _____ Yes, please send flyers and other announcements through the U.S. mail.


    _____ Instead of mailings, please send program information to the email address listed on this page.


    _____ No, please take my name off of all mailing lists and do not send me emails.

    Seymour Historical Society Seymour Historical Society,
    Mar 7, 2013, 8:27 PM
    Seymour Historical Society Seymour Historical Society,
    Mar 7, 2013, 8:29 PM