To join the Historical Society of Delaware,
please print this form and mail it to:

The Historical Society of Delaware
505 Market Street
Wilmington, DE 19801

_____ First State Stewards $1,000. _____ Sustaining $100.00 _____ Family $55.00
_____ Patron $500.00 _____ Small Business $100.00 _____ Individual $40.00
_____ Sponsor $250.00 _____ Contributing $75.00 _____ Student* $25.00
            _____ Senior** $35.00

*Student membership: full time with identification
** Senior Rate- 65 years or older

My check is enclosed for $____________ or Please Bill my (please circle one)

Master Card / Visa: Card #_____________________, Expiration Date________

Signature:_______________________________________________________________

Name:____________________________________________________  Daytime Phone #________________
          Please print your name as you would like it to appear on your membership record

E-mail Address: _________________________________________________________

Address:_______________________________________________________________

City__________________________________ State:___________ Zip:______________

 

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ŠUpdated 2006 Historical Society of Delaware
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