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Become a PHM Member
Contact Information
Name
*
First Name
Last Name
Email
*
Verify Email
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Membership
Membership is valid one year from the date of registration.
Membership Level
*
$30
-
Student / Senior
$50
-
Individual
$100
-
Family
$250
-
Highlander
$500
-
Weir Circle
$1,000
-
Storm King
$2,500
-
General Putnam Brigade
Additional Members
Up to 3 additional members are included in every membership level above the Family tier.
Family Membership+ - Additional Member 1
First Name
Last Name
Additional Member Email 1
Verify Email
Family Membership+ - Additional Member 2
First Name
Last Name
Additional Member Email 2
Verify Email
Family Membership+ - Additional Member 3
First Name
Last Name
Additional Member Email 3
Verify Email
Add 3% to my total amount to help cover the payment processing fees
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