Membership Application
or Renewal of Membership

Name:	__________________________________________________
Address:	__________________________________________________
Town/City/Zip:	__________________________________________________
Phone:	__________________________________________________

______I desire membership in LHS

______as a New Member or _________as a Renewal.

______	$250	Life Membership
______	$25	Individual Membership
______	$15	Senior (62+) Membership
______	$15	Student Membership

______

$25

Institutional Membership

______

$50

Contributing Membership

(All Memberships (except Life) are renewable annually.)

______ I wish to give a Special Gift. Please send me more informationon the Special Gift program of the Society.

I'm interested in:
______ Research
______ Reading
______ Publishing
______ Other: ________________________________________

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Print,fill out and send this form to LHS/MA, 61 Seminary Ridge, Gettysburg,PA 17325

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LHS/MA Main Page

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You can reach LHS/MA by mail at:
61 Seminary Ridge
Gettysburg, PA 17325

or by Email

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