Farmington Historical Society Membership Application
Please use this form to get on our email list or sign up for membership in the Farmington Historical Society
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Name: *
Street Address: *
(line 1)
Street Address:
(line 2)
Town: *
State: *
Zip Code: *
Cell Phone:
Email Address:
Please provide one for communication purposes.
Alternate email address
Have you been a member of the Farmington Historical Society in the past? *
Which of the following areas would you like to help? *
(please check all that apply)
What is your preference for receiving information from the Historical Society? *
(If requested, we will mail a postcard, but please remember that mailing postcards costs the Society both time and money.)
Membership Dues
Membership in the Farmington Historical Society is $10.00 annually.  Please make your check out to the Farmington Historical Society, and mail it to 
Treasurer, Farmington Historical Society, 422 Main St, Farmington, NH 03835.  
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