Membership Form

   Membership in the East Lyme Historical Society helps to preserve and maintain the Thomas Lee House, Little Boston School House, and other historical resources of the Town of East Lyme. We are a completely volunteer organization and a 501(c)(3).

   If you would like to become a member of the East Lyme Historical Society, you may download this form as a .pdf here, or print this page, fill it out and mail it, with your check, to:

East Lyme Historical Society
P.O. Box 112
East Lyme, CT 06333
Attn: Membership Chair

Name _______________________________________________
Address _______________________________________________
Town/City, State, Zip Code _______________________________________________
Telephone _______________________________________________
Email address _______________________________________________
Website
(Business members)
_______________________________________________

Please enroll me as a Member at the following level:

Student $5.00 ____
Individual $15.00 ____
Family $25.00 ____
Sustaining $25.00 ____
Lifetime (per individual) $150.00 ____
Business $50.00 ____

I would like to make a tax-deductible contribution in the amount of _____

I would like to volunteer for one or more of the following activities:

____ Historical house research
____ Genealogy/family research
____ Artifact research
____ Tour guiding (July-September)
____ Social activity planning
____ 5th Grade Colonial program
____ Original artwork
____ Writing for newsletter/website
____ Marketing and publicity
____ Fundraising
____ Grant application assistance
____ Legal assistance
____ Exhibit development/maintenance
____ Buildings and grounds maintenance
____ Photo/video documentation
____ Organization of historical records
____ Service on the Board of Directors