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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     $60
household/dual     $120
senior individual (62+)     $45
senior dual     $60
business/contributor     $150
donor     $250
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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