membership

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
2750 Hugh Moore Park Rd
Easton, Pa 18042

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

Address: ____________________________________________

City: ____________________________________________

State: _____________________Zip:_______________________

Phone:____________________________________________

Email:____________________________________________________

Please check membership classification:

Library, Museum, or Hist. Soc...... $ 10.00 __

Student............................ $ 18.00 __

Individual......................... $ 20.00 __
Dual, using same address........... $ 25.00 __
Sponsor............................ $ 35.00 __
Patron............................. $ 50.00 __
Sustaining......................... $100.00 __
Corporate or Institutional......... $100.00 __

Benefactor......................... $200.00 __

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 Emrick Technology Center 2750 Hugh Moore Park Rd. Easton, Pa 18042 administrator