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Membership Application The Northern York County Historical and Preservation Society is a non-profit tax exempt organization as defined by the IRS 501 (c) (3). Contributions may be tax deductible. Yes, I’d like to join the Northern York County Historical and Preservation Society. Printout - Membership Application Form (Adobe Acrobat format) ________________________ ___________________________________________ Name Mailing address City State Zip I would be interested in volunteering for _______________________________________ Please contact me if I can be of help. My phone number is ________________ Did a current member recommend us? If so who?_______________________ He may be eligible for a membership drive reward. Basic Membership IINDIVIDUAL_____$20.00 STUDENT (under 18yrs) _____ $5.00 FAMILY ______ $25.00 SENIOR SINGLE (over 65 yrs) _______$10.00 SENIOR COUPLE _____$15.00 ________________________________________________________________________ Or get the added benefits of : THE PRESERVATIONIST GUILD Single ______ $30.00 Family _____$35.00 Senior, single or couple _______$25.00 THE TAVERN KEEPERS GUILD Single _____ $70.00 Family ______ $75.00 Senior, single or couple_______$65.00 THE FOUNDERS GUILD All levels _________ $200.00
Please return this application along with a check made payable to: NYCHAPS 35 Greenbrier Lane Dillsburg, PA 17019 NYCHAPS is 501(C-3) and contributions may be tax deductible.
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