Hershey - Derry Township Historical Society

ONLINE MEMBERSHIP APPLICATION

 

Complete, print and mail this Membership Application to:

Hershey - Derry Township Historical Society

40 Northeast Drive, Hershey PA 17033

(717) 520-0748

Name

Address

City

State

Zip

Telephone

Email

New Member?

Yes No

If renewal, is this a change of address?

Yes No

Member Category

(Check only one)

Single $20

Family $30

Business $45

Patron* $100 - $299

Founder* $300 - $499

Benefactor* $500 +

The above is a gift membership from

 


Please accept my additional donation of $ to benefit the following:
Building FundMuseumLibrary FundPhoto Memories

Berst Cemetery FundSafe Restoration FundTrolley


Membership Amount: $

Additional Donation: $

Total Enclosed: $


Please make checks payable to:►Hershey - Derry Township Historical Society

 

The Hershey - Derry Township Historical Society is a non-profit 501(c) 3 organization dedicated to the preservation, restoration and appreciation of history of Hershey and Derry Township.

We are a self-supporting volunteer organization.

 

*Patron, Founder and Benefactor membership categories are eligible for a 10% discount at our Museum Store


DIRECTIONS: Complete this form by typing in the required information, check the appropriate check boxes and print this form. Mail it to the address above.