Membership Form

Harrison Township Historical Society • PO Box 4 • Mullica Hill, NJ 08062 • 856-478-4949

Complete this form and click the Submit Form button. Then pay securely online via Pay Pal by selecting the appropriate membership type from the pull down menu and clicking the Buy Now button below.

Or Click Here for a PDF version of this form that you can print and mail in, along with a check made Payable to "HTHS".

Name

First Name

Last Name

Additional Names for Family/Household Membership

Email Address

Phone

(###)

###

####

Message

Please let us know your interests in volunteering, or anything else you would like to let us know.

Membership Type

Student (K-12/College) $5

Senior (55 & Over) $5

Individual $10

Supporting $25

Family/Household $35

After submitting your online form, please pay securely online by credit card via Pay Pal.

We respect our members privacy, and do not give out their e-mail addresses. Members are blind CC’d event announcements and other correspondence, and can opt out at any time.

Membership Form

Thank you for helping us Make History Happen!