Richmondville Historical Society Membership Application 2007
Name
Mailing Address
Phone Number
E-Mail Address
Regular-$5.00
Family- $10.00
Student/Senior (55 or Over)-$3.00
Business-$25.00
Special Interest
Comments
Please Make Checks Payable to: Richmondville Historical Society
Attention: Joan Sondergaard, PO Box 316, Richmondville NY, 12149