Membership in the Moravian Historical Society

Name: ______________________________________________________

Address: ___________________________________________________

Telephone: _______________________________

Categories of Membership

DONOR CLUBS
(annual payment includes membership)		 MEMBERSHIPS
  Comenius Club $10,000 +
  Zinzendorf Club $ 5,000
  Spangenberg Club $ 1,000
  Whitefield Club $ 500
  Tricentennial Club $ 300
  Bicentennial Club $ 200
  Manor Club $ 100
  Individual $ 50 / year
  Each additional member $ 25 / year
  Student $ 20 / year
  Library/Institution $ 25 / year

Payment Options

Please print out this application and return with your check or credit card information to:

Moravian Historical Society
214 East Center Street
Nazareth, PA 18064
 

My total membership payment is enclosed (please make check payable to the Moravian Historical Society)
 

Please charge my membership to my credit card.
___ Visa     ___ MasterCard     ___ Discover
Account Number: ____________________   Exp. Date: ________________
Signature: ____________________________________________________
 

I wish to pay in quarterly installments (for Donor Club dues of $300 or more). Enclosed is my first payment. (The Society will send me a reminder for the next 3 payments.)