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Town of York Historical Society Membership Form

Name_______________________________________Renewal_____ New Member_____

Address_________________________________________________________________

Telephone Number_____________________________Email_________________________

Annual Dues:  Individual $10  Family $20  Student $2

If you have any special interests or talents you are willing to share with us (eg. computer skills, identifying artifacts, photography, etc.) please specify______________________________________________________________________

Please send to:  Town of York Historical Society, Pat MacIntyre, Treasurer, PO Box 464, York, NY 14592