South Bethany Historical Society 2014 Calendar Year Household Membership Application Form

South Bethany Historical Society
2014 Calendar Year Household Membership Application Form

Dues for Household (one to two members) $20

Name(s): Date:

Enter the names and email addresses of up to two household members who wish to receive updates and vote on Society issues

Street: Email 1:
City/Town: Email 2:
State: Zip:
Phone(s):

Please return your check, made out to South

Household Membership ($20) $

Contributor Donation ($20 - $100) $

Sponsor Donation ($100 - $500) $

Patron Donation ($1,000+) $ Bethany Historical Society, along with this form to:

Total Enclosed $

Please send your check and this Application Form to:
South Bethany Historical Society

c/o Town of South Bethany

402 Evergreen Road

Bethany Beach, DE 19930 South Bethany, DE

I am interested in participating in the following committee (please check):

Membership Publicity Preservation
I would like to help in other ways: ______________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

For more information, visit our Internet Home Page at

sbpoa.sharepoint.com/Pages/SBHistoricalSociety.aspx,

and/or contact Maria Johansen at [phone], and/or

email to [e-mail]

The purpose of the South Bethany Historical Society

is to preserve and promote the history of South Bethany.