Online Application
Apply for membership by completing the form below.
Name
* required
Spouse/Partner
Address
City/State/Zip
Telephone
* required
E-mail
Membership
Level
student
$10
individual
$50
household/dual
$100
senior individual (62+)
$35
senior dual
$50
business/contributor
$150
donor
$200
patron
$500
benefactor
$1000
Payment
Method
enclosed is my check made out to:
The Historical Society of the Town of Warwick
please charge my membership to my Visa or Master Card
Account #
Expiration Date
V-Code
Options
I am interested in volunteering at The Historical Society
My employer's matching gift is enclosed
I would like to forfeit my tangible benefits
to make my gift 100% deductible
Please send a will kit and information on charitable annuities
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