Membership Form

Please use this form to become a new member, renew your membership, or order maps.

Name________________________________________________________________

Address_____________________________________________________________

       _____________________________________________________________

Email Address_____________________________Phone_____________________

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Dues $5 per person or $10 per family               __________________

Donation (always appreciated)                      __________________

1869 Beers Colored Map @ $7 MAILED                 __________________

1869 Black and White of the 3 villages @$6 MAILED  __________________
 
Updated map of Windsor County, colored @$7 MAILED  __________________

Cookbook @ $18.75 MAILED                           __________________



TOTAL ..........................................  $_________________

Please mail to:

Hartland Historical Society
PO Box 297
Hartland, VT 05048

THANK YOU!!!