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Yorktown Historical society Contribution Form

Please complete and print this form. Send with your payment to:

 

Yorktown Historical Society 

Street

Yorktown, NY 10509

 

      Individual                   $25
      Family                        $40
      Sustaining                  $75
      Patron                       $100
      Sponsor/Corporate     $250

 

     Total Contribution         $

 

Please make all checks payable to Landmarks Preservation Society.  Please remember company matching funds if available.

 

Name 

 

Address 

 

Phone  

Email 

 

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Last Updated 12/09/2013