Membership Enrollment STEP 1 ~ Enter your name, address and contact details below. STEP 2 ~ Pay by credit card online. Or see instructions below for mailing a check. Thank you and welcome! NameFirstLastMailing Address ~ Billing Address if Using Credit CardAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeYour complimentary DCHS Yearbook (generally published in December) will be mailed to this address unless indicated otherwise in comments box below.EmailYes, I would like to receive occasional news and updates through emailPreferred Telephone NumberChoose Your Membership LevelIndividual $35Associate $20 (only for paid members of local DC historical societies)Family $50Sustaining $100Patron $250Sponsor $500Millennial $1000Total$ 0.00Please indicate how you will payBy Check ~ Payable and mailed to DCHS ~ PO BOX 88 ~ Poughkeepsie NY 12602By Credit Card ~ I will fill out details belowIndicate type of Credit CardVisaMastercardAmerican ExpressDiscoverCredit CardCard NumberSecurity CodeName on CardExpirationMM123456789101112/YY1718192021222324252627If you have chosen Associate Membership, please indicate which local historical society you are a member:Your comments, interests, preferences, if you wish to state any at this time:Your complimentary, year-end DCHS Yearbook will be mailed to this address you indicated at the top of this form -- unless indicated otherwise in this comments box.NameSubmit Thank you and welcome! Share this:TwitterFacebookGoogleLike this:Like Loading...
