HENRY WALDINGER MEMORIAL LIBRARY
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			60 Verona Place, Valley Stream, Long Island, NY 11582                                              (516) 825-6422
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Valley Stream Historical Society Membership Information

To join the Valley Stream Historical Society, print out the membership form.
Complete and send it to the Valley Stream Historical Society with your membership dues.

Membership Form Valley Stream Historical Society P.O. Box 22, Valley Stream, NY 11582 EXPIRES JUNE 2007 Individual $10, Student $2, Contributing $15, Family $15 (4 or more in one family) Organizations, Clubs, Business, Etc. $25 Tax Exempt Life Gifts $100.00 Name _________________________________________________ Renewal ____ New ____ Address _____________________________ City _______________State ___ Zip ________________ Date ___________________________________ Payment $ _____________ Check _____ Cash _____