Application to Join or Renew Membership to the

Wantagh Preservation Society

Please print this application, fill it out, and mail it with payment to the address shown below.

Thank you for your support!

Name:

Street:

City, State, Zip:

Phone Number:

Email:

Status (please check one):

New            Renewal
 

Type (please check one):

Individual $10        Family $20        Friend $30        Patron $50        Fellow $100
 

Would You Like to Volunteer to Help?

Not at this time

General meeting planning and assistance

Special event planning and assistance

Construction

Restoration

Gardening and planting

Publication and newsletter

Publicity

Hosting museum on a Sunday (2-4 PM)

Other ____________________________

Wantagh Preservation Society

PO Box 132

Wantagh, NY 11793

Revision Date: 2010-05-16

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