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The San Anselmo Historical Society Name___________________________________________________ Address_________________________________________________ Phone____________________ Individual Membership ($25.00 annually) _____ Family Membership ($35.00 annually) _____ Business Membership ($35.00 annually) _____ Areas of interest: • Museum Docent_____ • Newsletter publication_____ • Program planning_____ • Fundraising_____ Comments_________________________________________________________ Mail the completed form and
your check to: The San Anselmo Historical Society, 110 Tunstead Ave, San
Anselmo, CA 94960
Thank you!
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