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Name:_____________________________________
Address:___________________________________
City:_______________________________________
State:______________________________________
Zip Code:___________________________________
Phone incl area code:_________________________
Email Address:_______________________________
Your email address allows us to send you the GHS meeting minutes and
Please make sure you let us know if there are any changes, if
Donation Amount_____________________________
Should you decide to donate and extra amount to the society, you can
select which fund to go to. Such as Building Fund, Cemetery Fund,
Otherwise, we will place the donation in the overall fund to
Donation for:_________________________________
The following categories for membership: Please circle your
Single member, one year $20.00
Single member, lifetime $300.00
Please make check(s) payable to
The Guildford Historical Society
And mail(with the above information) to