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Your membership and support of the Society's efforts to preserve Hatfield's history is greatly appreciated!

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HATFIELD MUSEUM AND HISTORY SOCIETY
MEMBERSHIP FORM

Annual Membership Dues: $20/individual     $30/couple
 
NAME (1)  ____________________________________________________________________
              (As you want it on your membership card)

NAME (2)  ____________________________________________________________________
                     (As you want it on your membership card)

ADDRESS     __________________________________________________________________

                        __________________________________________________________________
                                           
Return this form with the appropriate membership fee to
HMHS, P.O. Box 111, Hatfield, PA 19440-0111