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Membership
Join the Yaphank Historical Society by paying dues for the current year. If you are interested, please complete and send in the form to:
Yaphank Historical Society
PO Box 111
Yaphank, NY 11980-0111
Please enroll me as:
| (_) Active Member | $10.00/person - $7.50/Senior Citizen (62+) $15.00/couple - $12.50/Senior Couple (62+) |
| (_) Contributing Member | $25.00 |
| (_) Life Member | $75.00/person - $50.00/Senior (62+) |
| (_) Patron Member | $200.00 |
| (_) Benefactor Member | $500.00 |
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Name___________________________ Telephone #_______________
Address_________________________ E-Mail:____________________
Town___________________________State_______Zip Code________