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Membership Application

Please print this out, make check payable to the "Pennsylvania Canal Society", and mail it along with a check to:

Pa. Canal Society
Membership Chairman
C/O National Canal Museum
30 Centre Square
Easton, Pa 18042-7743

Name _____   __________    _____    _____________________
  Title: Mr., Mrs., Ms., Dr., etc.     first        middle init.                last name
Organization: ____________________________________________

Address: ____________________________________________

City: ____________________________________________

State: _____________________Zip:_______________________

Phone:____________________________________________

Email:____________________________________________

Please check membership classification:

Individual........................................ $ 20.00 __
Dual, using same address............$  25.00 __
Sponsor.......................................... $  30.00 __
Patron............................................  $  50.00 __
Sustaining......................................$100.00 __
Corporate or Institutional........... $100.00 __
Library, Museum, or Hist. Soc.....$  10.00__


Your dues help maintain the Society's archives at the National Canal Museum and provide you with subscriptions to Canal Currents and invitations to all Society events. The dues period is the calendar year. Dues paid after October 1st cover the succeeding calendar year.

Thank You.

 

 

Pa. Canal Society C/O National Canal Museum 30 Centre Sq. Easton, Pa 18042-7743 administrator@pacanalsociety.org