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Conway Historical Society
Post Office Box 1949
Conway, New Hampshire 03818
(603) 447-5551

	Your support helps to preserve and promote
the rich and varied heritage that is Conway's. 
Joining the Conway Historical Society is easy.  
Just print and mail this page.

	 
	



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Dues and Levels of Giving
[  ] Individual $10.00,  [  ] Family $15.00,   [  ] Life $100.00,  
[  ] Associate $25.00,     [  ] Supporting $50.00 +,   
 [  ] Patron $100.00 +,  [  ] Friends of Henry Seymour Conway $500.00 +

Name___________________________________________________________________

Address__________________________________________________________________

City________________________________ State__________  Zip____________________

Phone_(_____)-_______-_______________ 
I wish to give the following amount beyond my regular dues _$____________________

Please make checks payable to:

Conway Historical Society - Post Office Box 1949 - Conway - New Hampshire - 03818


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