Tel: 203.245.4567 Email:

John Augustus Willard Farmhouse, 1845

MHS Historic Building Plaque Request

If you would like to add your application to our waiting list, please fill out this printable form and mail it to:

Madison Historical Society 

P.O. Box 17 

Madison, CT 06443

Please include a check for $400, made payable to the Madison Historical Society.

You may also submit this form to us by email and make your payment through our secure online payment system.

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