Membership Form

Please print this page and mail with your contribution to the address below. Thank you for your support!

__ Regular $10.00         __ Family $15.00               __ Junior Member $1.00

__ Business $25.00       __ Benefactor $50.00        __ Life (payable one time) $200.00

__ Memorial Membership $100.00 or more
Name of honoree:_____________________________________

Additional donation:____________

Name______________________________________________ 

Address____________________________________________

__________________________________________________ 

Phone #____________________________________________ 

E-mail_____________________________________________
___ Please send newsletters as PDF e-mail attachments rather than paper copies

The Canaan Historical Society does not share its mailing or e-mailing lists
with other organizations.

Please send checks/money orders payable to:
The Canaan Historical Society
c/o Tammy Flaherty, Treasurer
13 Warner Crossing Road
Canaan, NY 12029

IRS TAX STATUS: Deductions may be taken by donors for bequests, contributions, devices, legacies, transfers or gifts to the Society, to the extent allowable by law.

This entry was posted in Contact Information. Bookmark the permalink.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s