Membership Application


KLYNE ESOPUS HISTORICAL SOCIETY

The KLYNE ESOPUS MUSEUM


Text Box: aType of Membership/Dues: oIndividual: $ 15.00 per year oFamily: $ 20.00 per year oIndividual Life: $200.00 one time oFamily Life: $400.00 one time Make Checks Payable to Klyne Esopus Museum

Please printout and mail to:

KLYNE ESOPUS MUSEUM

Attn.:  Membership

PO Box 180

Ulster Park, New York 12487-0189

 

Name:             _____________________________________________________

Address:        _____________________________________________________

                        _____________________________________________________

City:                _________________________  State:  ____  Zipcode:__________

Contact Information:

Home Telephone Number:               (________) ___________________________

Email Address:                                 _______________________@____________

Optional Information:

Work Telephone Number:                (________) ___________________________

Cell Telephone Number:                  (________) ___________________________ 

Alternate Email Address:                 _______________________@____________

 

Please contact me for volunteer opportunities in the following areas:

 

Membership Committees:

 o Membership    o Nominating    o Audit   o Trustee

 

Board Committees:

    o Programs    o Communications    o Museum (Exhibits)

 

Work Parties: 

 o Buildings/Grounds    o Mailings    o Newsletter  o Speaker Programs

 

Event Committees:    

 o Summer Festival    o Turkey Dinner   o Annual Recognition Dinner  

 o Annual Exhibit Event (Music, Play, etc.)