Membership Application Form

Please send to
Newfoundland Historical Society
P.O.Box 23154 Churchill Square
St.John's, Newfoundland and Labrador, Canada.
A1B 4J9

Or phone (709) 722-3191 with your Visa Card number ready
The Society's e-mail address is not necessarily secure, so please do not submit
Visa card numbers except by regular mail or by phone

Name:

Address:
 

Postal Code:

Cheque or money order payable to the Newfoundland Historical Society,
or pay by Visa.

Regular membership[$28]:
Institutional[$28]:
Members with non-Canadian mailing address: UK: £24 or USA: USD$36 or CAD$41
Life [$400]:


Cheque/MO:
VISA:

Gift membership (please give name and address):
 
 

E-mail address:


 Fee:                       Donation:                                    TOTAL:
 
Visa card no.:                                                             Expiry date:
 

Signature:                                                                   Amount: