NORTH YORK HISTORICAL SOCIETY

Membership 2012

52nd Year

Name (print) ______________________________________ Phone _________________________

Address____________________________________________________________________

Email address: _________________________ May we email newsletters to you __________

Please check one: Family $25.00___ Individual $15 ___ senior $10___ Student $5___

Donation_________

(Charitable receipts for income tax purposes provided for donations)

Please make cheque payable to the North York Historical Society and mail to:

North York Historical Society

5845 Yonge Street

PO Box 45045

North York, ON M2M 4K3

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