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Shelter Island Historical Society 2010 Membership Form

$30 Annual Individual Membership
$45 Annual Family Membership • An invitation to the May Membership Party • 10% discount on Havens Store purchases • The Society’s informative newsletter

$250 Annual Newsletter Sponsor Membership • Your name listed as a sponsor of the Society’s newsletter • An invitation to the May Membership Party • 10% discount on Havens Store purchases • The Society’s informative newsletter

$500 Event & Program Sponsor Membership • 2 tickets to  a) the Architectural House Tour or  b) Voices from the Vault • Recognition in Society’s newsletter & web site •Recognition at events and programs • An invitation to the May Membership Party • 10% discount on Havens Store purchases • The Society’s informative newsletter

$1,000 Havens House Associates Membership • 2 tickets to the Society’s gala fundraiser “One Enchanted Evening” • 50% of your dues will be assigned to the Society’s Endowment Fund • Recognition in the Society’s newsletter and web site • An invitation to the May Membership Party • 10% discount on Havens Store purchases • The Society’s informative newsletter

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Shelter Island Historical Society ~ 2009 Membership Dues

Name___________________________________________________________

Address _________________________________________________________

Email address______________________   Phone number __________________

Category & amount enclosed__________________________________________

Check ___ or Credit Card #______________________ Expiration Date ________

Signature_____________________________________

Preserving Yesterday … Today … for Tomorrow