Atwood Museum and Chatham Historical Society · CHS Gift a Membership Form

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Membership Level

$25 - Student Historian ($10 - $34)

$45 - Individual ($35 - $49)

$75 - Family ($50 - $99)

$200 - Explorer ($100 - $249)

$400 - Discoverer ($250 - $499

$750 - Heritage ($500 - $999

$2,000 - Captain Atwood ($1,000 - $2,499)

$2,500 - Benefactor ($2,500 and above)

Membership Amounts

The Chatham Historical Society invites you to select either one of the membership levels and amounts provided or to enter an amount of your choice (minimum donation of $10). You will receive the membership benefits corresponding to the amount that you have chosen.

Giver's Name

First Name

Last Name

Giver's Email

Verify Email

Giver's Phone

Giver's Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Gift Recipient Information

Name

First Name

Last Name

Verify Email

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

How did you hear about the Chatham Historical Society?

Please choose all that apply

Social media

Web

Word of mouth

I attended an event

Other

Other reaason:

Please subscribe me to your mailing list. I understand that I can unsubscribe at any time

Yes

Add 3% to my total amount to help cover the payment processing fees