HISTORICAL SOCIETY OF TOPSAIL ISLAND
2015-2016 MEMBERSHIP FORM
NAME(S):____________________________________________________________
MAILING ADDRESS: ___________________________________________________
TOWN/STATE/ZIP: _____________________________________________________
PHONE NUMBER: _____________________________________________________
EMAIL ADDRESS: _____________________________________________________
Check one:
___$125.00 – Family Membership and Friends of the Museum*
___$115.00 – Individual Membership and Friends of the Museum*
___$100.00 – Friends of the Museum*
___ $25.00 – Family Membership ___ $15.00 – Individual Membership
$_____-- Other donation*
* Would you like to double your donation?
Does your company have a charitable giving or matching gift program?
Contact your HR department; even if you are retired!!
I would like to volunteer at the Historical Society in the following area(s):
Museum Docent _____
Luncheon _____
Education _____
Membership _____
Jingle Bell Ball _____
Autumn with Topsail _____
Bingo ______
Marketing _____
Make checks payable to: Historical Society of Topsail Island
And return to:
Membership Chair
Historical Society of Topsail Island
P.O. Box 3653
Topsail Beach, NC 28445
OR pay by credit card via PayPal: topsailhistoricalsociety.org/membership