Lambertville
Historical Society House Plaque Order Form
Please complete one order form per plaque
The
Lambertville Historical Society will recognize and make available a plaque
stating “National Register of Historic Places (Year built) Lambertville Historic
District” for any structure within the Lambertville Historic District as
designated by the National Register of Historic Places and as further depicted
as “The Lambertville Historic District” in the maps contained in
the Delaware and Raritan Canal State Park Historic Structures Survey dated June
1982.
The
year to be indicated on the house plaque will be the year indicated in the
inventories accompanying the Delaware and Raritan Canal State Park Historic
Structures Survey unless the applicant can substantiate a year built through
official public records (i.e. deeds, mortgage records, tax records) or other
credible documentary evidence.
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I
am interested in ordering a plaque in accordance with the policy stated above.
Name:
Address:
Phone:
E-mail:
Member of LHS: [ ] Yes [ ] No
Full
address of building located within the Lambertville Historic District (include
block and lot number if known):
Use
the year built as indicated in the inventories accompanying the Delaware and
Raritan Canal State Park Historic Structure Survey dated June 1982 [ ] Yes [ ] No
OR
Use
the year built as indicated in the copy of the attached document (see policy
above).
Use
Year Built:
|
Price of Plaque |
$90.00 |
|
Member discount* |
-$10.00 |
|
Membership Renewal* |
|
|
New Membership** |
|
|
Total enclosed |
|
Make check payable to LHS and send to LHS,
Delivery
is 4-6 weeks. You will be notified
when we have received your plaque and arrangements can be made for pick up or
delivery.
*Membership information:
Individual: $25 per year Senior: $20 per
year Family: $30
per year
Business: $50 per year Historical Society
Centurion: $100
**Volunteers
Wanted: Please circle your
interests: Social Functions, Museum
Activities, Fund Raising, Public relations and publicity, Newsletter,
Educational Programs, Membership.
Thank
you for your order and your interest in the Lambertville Historical Society.
Visit us on the Web at www.lambertvillehistoricalsociety.org