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Membership Fees & Application

$10.00 (Individual)

$15.00 (Family)

 

If you would like to become a member, please fill out the application below and mail it to the Greater Patchogue Historical Society, P.O. Box 102, Patchogue, NY 11772 along with your dues or feel free to bring it to one of our meetings.

 

Name: _________________________________

 

Address: _______________________________

 

Town/Zip: ______________________________

 

Telephone: ____________________________

 

Email: _________________________________

 

Individual: ____ Family: ____ 


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