Membership - Pay by Check

Please complete all information requested in the form below to become a member of the Watertown Historical Society. Once you've completed the form, including specifying your membership level, click the Submit Form button and mail in your check. Your membership will not be processed or become active until we receive your payment.

Full Name:
Address:      Street, Apt #      City, ST, ZIP
Telephone #:
E-mail:
Membership Level: Senior Membership $ 12.00    Individual Membership $ 30.00    Couple Membership $ 45.00    Museum Sponsor $ 100.00    Heminway Circle $ 250.00    Lifetime Membership $ 500.00    Corporate Sponsor $ 1,000.00    Please make all checks payable to The Watertown Historical Society and mail them to: 22 Deforest Street Watertown, CT 06795