Whitehall Historical Preservation Society

                                      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:_(_______)______________
Area Code Number
Email my newsletter (Yes) (No)
Email Address_____________________

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