Puget Sound Maritime Historical Society, Membership Application, Seattle, Washington

Preserving our Northwest Nautical Heritage

Membership Application Form

Please print out this application form from your computer, fill it out and mail it in to the address below with your membership level check. Welcome aboard, shipmate!

Circle the following membership type and amount you desire to donate to the society:

New Membership Renewal Membership

$40 Individual or Family Membership
$35 Associate Membership for:
- Libraries
- Museums
- Non-Profit Organizations
$50 Sustaining Membership
$75 Sponsoring Membership
$100 Patron Membership
$500 Corporate Membership
$500 Benefactor
$1000 Navigator
Work(ed) for a Matching Gift Company: ____________________________.
Additional Donation Amount: $ ____________________.

Member Information

Name: ____________________________________________________

Address: __________________________________________________

City:_________________________________ State: _______________

ZipCode: ________________

Home Telephone: ________________________

Work Telephone: ________________________

Occupation: _________________________________________

Email Address: ________________________________________

Please mail your check and this completed application form to:

Puget Sound Maritime Historical Society
P. O. Box 9731
Seattle, WA 98109-0731

Thank You

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