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Chatham Historical Society Online Membership Signup

As you proceed, you may start over at any point, if you decide you want to submit your membership information or payment in a different manner.

Be sure to press 'Submit' after filling out this form, to send in your membership information.

Please choose a membership level, so that we may customize the following screens and make online membership enrollment as easy as possible.

Pages referenced by form completion page, and subsequent in sequence

Choose Membership Benefactor. . . $2,500+ Explorer ... $100-249
     Category: Captain Atwood Circle.$1,000-$2,499 Family ... $50-99
  Heritage Society. . . $500-$999 Basic ...$35-$49
  Discoverer ... $250-$499 Student Historian ... $10-$34
    Additional Donation Amount    
Please check if this a membership renewal     
Please check to be contacted with corporate matching grant information:

Please enter your membership information. (If you have more than one address, please enter the primary mailing address for your membership record.)
Name First: Last:
Mailing Address (Line 1)
Mailing Address (Line 2)
City, State, Zipcode City: State:   Zipcode:  
Home Phone:
:
Your email address:You will receive an email confirmation at this address.
  We will also add you to our email mailing list unless you "opt-out" below.
If you do not wish to receive occasional emails from The Atwood House & Museum about events and exhibits, please uncheck the box:  OK to add to email list
(If you are already on our mailing list, this box will have no effect, neither adding you again,
nor removing you if left unchecked. Visit our Mailing List (New window) page for more information.)

After pressing "Submit", you will have the choice of
  • making a secure credit card payment online,
  • paying using your personal PayPal account,
  • or sending a check to the Chatham Historical Society.