Yes! We want to join!
Membership Application
__New Member  __Renewal  __Gift

Name(s)____________________________________________________

Address ____________________________________________________

Town     ____________________________________________________

State _____________ Zip _________

Phone__________________________

E-mail __________________________

Please enroll me as follows:
   
___Student or Senior                     $25
___Individual                            $30
___Family/Household                      $40
 (2 adults and children under 18)
___Grandparent                           $40
 (2 adults and grandchildren under 18)
___Contributor                          $100
___Sponsor                              $250
___Sustainer                            $500
___Benefactor                         $1,000

___Enclosed is a check payable to ” Noah Webster House & West Hartford Historical Society"
___ Please charge my Visa, Mastercard, or Discover

Acct # __________________________

Expiration Date ___________________

Signature________________________

Mail to:
Noah Webster House & West Hartford Historical Society
227 South Main St.
West Hartford, CT 06107