Tel: 203.245.4567 Email: office@madisonhistory.org

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 deposit of $1000, payable by check or credit card. The final total cost at this time may approach $2500, due to the fees of the researchers.

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





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