Membership Form

Membership is payable with cash or cheque (made payable to The York Sunbury Historical Society). Either drop by the museum and pay at the office or mail your cheque to the address on the contact page.

Fields in bold are required.

Application for Membership
Name
Mailing Address
Home
Work
E-mail
Yes! I am interested in volunteering time and/or expertise to the Society.
My interests are:
Level	Single $35.00 Family $45.00 Sustaining $100.00 ($35 membership and a $65.00 tax receipt) Institutional $35.00 Life $250.00 Student $15
If this is a student membership; which school do you attend?
I would like to receive regular e-mail updates, including newsletters, renewal notices, and special offers.	Yes No
Is this a membership renewal?	2009 Renewal 2010
Is this a gift?
If this is a gift a package will be sent; please let us know who the gift is from.

Featured Links

Membership Form