Farmington Historical Society Membership Application
Please use this form to sign up for membership in the Farmington historical Society
Name:
Your answer
Street Address:
(line 1)
Your answer
Street Address:
(line 2)
Your answer
Town:
Your answer
State:
Your answer
Zip Code:
Your answer
Phone:
(optional)
Your answer
Cell Phone:
(optional)
Your answer
Email Address:
Please provide one for communication purposes.
Your answer
Alternate email address
(optional)
Your answer
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)
Required
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.)
Required
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