JPHS Membership

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

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Donation Amount *

$15 - Member

$25 - Family

$50 - Supporter

$100 - Patron

$200 - Gold

$250 - Platinum

I would also like to help plan and/or organize the following:

Lectures

Holiday Observances

Publications

Newsletter

Historic Markers

Historical Collections

Research

Tours

Hospitality at Events

Website