Shelton History Center Connecticut 
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Membership Form

Yes, I want to become a member or renew my membership in the Shelton Historical Society and help support an important and meaningful community resource to promote the appreciation and preservation of local history.

Please enroll me in the following category:

Please Circle membership level and whether you are renewing or a new member:

Individual $20.00    Family $30.00      Corporate $100.00

New Member                      Renewing Member


Please Print:

Member Name 1:_______________________________________________________________

Member Name 2:_______________________________________________________________

Number of Children under Eighteen (if applicable)___________________________________

______________________________________________________________________________
Street Address

______________________________________________________________________________
City                                                            State                                       Zip

______________________________________________________________________________
Telephone

______________________________________________________________________________
Email address (Please print clearly)



I would like to help Shelton Historical Society save postage costs by receiving notices and the newsletter via email
:

Yes __________      No_______

To print this form click on "File" - "Print".
Make check payable to and return form to:
 Shelton Historical Society, Inc.

Shelton Historical Society
P.O. Box 2155
Shelton, Ct 06484



Can you volunteer? Volunteers help us attain our goals in many different ways:

Please Circle
  • Special Events Committees (antique car show, Civil War event, etc.)
  • Education Committee (presenting tours and programs)
  • Publicity and Communications
  • Membership Committee
  • Building and Grounds Committee (Includes gardening and maintenance)
  • Collections Committee
  • Clerical, computer projects, mailing, gift shop attendant
  • Refreshments
  • Other ideas?__________________________________________________

Ask your company about their matching program and submit the information to us to match your
contribution.
Shelton History Center 70 Ripton Rd. PO Box 2155 Shelton, CT 06484 Phone: 203-925-1803. All pages herein are copyright Shelton Historical Society,Inc. Please do not use any portions of this site without permission, but linking to our site is invited.