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:____________




Phone #____________________________________________ 

___ 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.

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