Whitehall Historical Preservation Society

Membership

                                      Membership Application
                 ❖ Invest in Whitehall’s Heritage ❖
                                          Student…………………….$ 8.00
                                          Individual………………….$15.00
                                          Family………………………$25.00
                                          Sponsor……… .$50.00 - $99.00
                                           Patron………….$100.00 and over

    Memberships are valid for one fiscal year, renewable in November.  All          memberships are tax deductible to the extent provided by law.

    Telephone: 610-776-7280

    Please Print:
    Name:__________________________________________________________________
    First Name, Middle Initial, Last Name
    Address:________________________________________________________________
    City: ____________________________________________________________________
    State ___________ Zip _____________
    Telephone:_(_______)______________
    Email my newsletter (Yes) (No)  Circle one
    Email Address__________________________________________________________

   Please make membership check payable to the
   Whitehall Historical Preservation Society
    and mail to:
   Whitehall Historical Preservation Society
   P.O. Box 39
   Whitehall, Pennsylvania 18052-0039

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