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MEMBERS APPLICATIONS
WEST MANCHESTER TWP HISTORICAL SOCIETY’ INC

Corporation/Business______________________

Name (Individual) ______________________

Spouse (Family) ______________________

Address ________________________________
City _______________State_____Zip_____
Phone (Home)___________(Work)___________
E-Mail _________________________________

Type of Membership:

___Active

___Associate

Class of membership:

:___Yearly Individual $20.00
___ Yearly Family* $25.00

___Yearly Individual Senior $15.00
___Yearly Family Senior** $18.00

 

 

*Family membership includes spouse and children under 18 years of age.
**Senior Family membership includes spouse of any age.

Memberships are valid January 1st through December 31st

Make checks to: West Manchester Twp Historical Society
Mail to: Jay Kern 3160 West Market St, York PA 17404
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Society use only: Check #____________Cash_____
Date accepted for Membership__________________
Processed by:___________________________________