$15 _____ Student/Senior     

$25_____Individual

$40_____Family/Household

$75_____Sustaining

$100_____Patron

$250_____Benefactor       

Name_____________________________________________

Address__________________________________________

City_______________________State______Zip_______

Email_____________________________________________

Phone_____________________________________________

Make checks payable to WTHM, 411 Main St., Willimantic, CT 06226

Thank you for your support.

Windham Textile & History Museum - Membership Renewal  2010