Historical Society Membership Form
Please fill in, print out and mail to:

Membership Chairperson
c/o Historical Society
Memorial Town Hall
Newtonville, NY 12128-0508

Name:

Address:

City:   State:   Zip Code:

Telephone Number:

Email:

I would like to become a member of The Historical Society of the Town of Colonie, New York, Inc. in the classification I have checked below OR renew my membership as noted below:

Classification Annual Dues Classification Annual Dues
Students and Senior Citizens
$10.00
Business $50.00
Individual
$12.00
Sustaining Corporation $250.00
Family
$15.00
Benefactor $250.00
   

My annual dues in the amount of $ are enclosed.

Programs you would like to see offered: