2. Membership Fees

   1. Individual: $20
   2. Family: $25
   3. Seniors/Students: $15

   1. Lifetime Membership: $200
   2. Business: $30
   3. Lifetime Couple Membership: $350
4. First Name
5. Last Name
7. Address
9. City
10. State
11. Zip Code
13. Make check payable to: Boonton Historical Society and Museum
    Please print form and mail to:
    210 Main Street
    Boonton, New Jersey 07005
    Attention: Membership Chairperson
Leave This Blank:


14. Print Only

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