Membership Application

DINGMANS FERRY/ DELAWARE TOWNSHIP HISTORICAL SOCIETY

MEMBERSHIP APPLICATION

DATE_________________________________________

NAME__________________________________________

ADDRESS___________________________________________

CITY_________________STATE________ ZIP CODE_________

TELEPHONE#________________________________________

E-MAIL ADDRESS_____________________________________

Membership Dues are $5.00 per person, $10.00 per family per year.

Family membership includes husband, wife, and children while living at home.

NAMES OF FAMILY MEMBERS ENROLLED_________________________________________________________________________

Print this page and mail with dues payment to:

Dingmans Ferry-Delaware Township Historical Society

116 Wilson Hill Road

Dingmans Ferry, PA 18328

or return form in person with cash or check payment at our next meeting.

Credit cards not accepted.

Files coming soon.