Greater Middletown Military Museum

Connecticut Museum Dedicated to Education and Research

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Application

Note: Military Service is not a criteria for membership.

First name(required)

Last name(required)

Address(required)

City(required)

State and Zip(required)

Email

Home number

Cell number

Membership dues(required) Annual $25

Life $250

OPTIONAL: Did you serve in the armed forces of the United States? Yes

No

If yes what branch?

During what period?

Are you interested in serving on a committee? Advisory Board

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You may submit this form and pay online: https://checkout.square.site/buy/U5WNHYQIYZZ67YGU7XVC4T5D

or, print out this application and send it with your payment to:

Greater Middletown Military Museum
200 Walnut Grove Road
Middletown, CT 06457

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