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New London County Historical Society, Inc.
Supporting Historical Preservation and Education for the Future

Membership Application

(Print this form and mail it with your membership dues to the Society at the address below)

11 Blinman Street
New London, CT 06320
(860) 443-1209


New Renewal

Individual
$25
Family
$35
Senior Couple
$25
Individual Senior or
Student with ID
$15
Contributing
$50
Sustaining
$100
Patron
$250
Life
$500

(Memberships must be renewed annually – except for Life members)


Let us know how you would like to be listed:

Mr./Mrs./Ms./(Title) __________ First Name _______________________________ Last Name __________________________________

Address:________________________________________________________________________________________________________

City _________________________________________________________________ State _________ Zip:________________________

Home Phone (xxx )__________ - ________________

Business Phone (xxx )__________ - ________________

E-mail address(es):______________________________________________________________________________________________

Thank you for considering us!

Benefits include receiving our bi-monthly newsletter, free admission to the historic Shaw Mansion, the NLCHS Library,
our Second Sunday programs and discounts on merchandise.

The New London County Historical Society is a non-profit educational organization
formed under Section 501(c)(3) of the U.S. Internal Revenue Code.

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