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COMING EVENTS:   [an error occurred while processing this directive]                   MANSFIELD HISTORICAL SOCIETY MEMBERSHIP APPLICATION   PLEASE NOTE: Currently, the Mansfield Historical Society cannot accept payment for membership dues over the Web. Consequently, we must ask you to fill out the form below and then PRINT it using your browser's print function (usually under the "File' pull-down menu). Then mail it along with your check to the address indicated. Thank you for joining the Mansfield Historical Society! Salutation: First name: Middle initial:   Last name: Suffix:   Dr. Mr. Mrs. Ms.   Jr. II III IV Address 1: Address 2: City: State: Zip code: Home phone: E-mail address: Membership level: [please check one] Student ($10)     Individual ($20)     Family ($30) Contributing ($50)     Small Business ($75)     Sustaining ($100) Patron ($150)     Corporate ($250) I wish to contribute an additional $ to support the Historical Society.  Please contact me with details on how to make a bequest to the Society. I am interested in volunteering to help with the following activities [check all that apply]: Collections     Education     Exhibits     Genealogy     Handyman Historical research     Host / hostess     Office work     Special events Additional comments:       Please make checks payable to The Mansfield Historical Society. Mail membership form and check to: Mansfield Historical Society 954 Storrs Road P.O. Box 145 Storrs, CT 06268-0145     All Rights Reserved Site design by The Wharton Group, 2008