NUTLEY HISTORICAL SOCIETY
65 Church Street
Nutley NJ 07110
973-667-1528
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The Nutley Historical Society is a not-for-profit organization dedicated to serve the educational, cultural and historical needs of our community.
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I (we) __________________________________ (print name)
wish to _ apply/ _ reapply for membership in
The Nutley Historical Society for the year ____ in the following category:
Annual Individual $15.00 ____
Annual Family $25.00 ____
Lifetime Individual $150.00 ____
Lifetime Family $250.00 ____
Annual Business Patron $50.00 ____
Lifetime Business $500.00 _____
Additional Donation _______ _____
Signed _____________________________________________
Print Name _________________________________________
email (optional) __________________________________
Address ____________________________________________
City _____________________ STATE _____ ZIP __________
Phone ______________________________________
Send check and application to:
Nutley Historical Society, 65 Church St., Nutley, NJ 07110
Nutley Historical Society 