Membership Application

Required

(If membership is for a corporation or institution, please give company name, plus name of representative.)

Street address:

City/ town:

Province:

Country:

Postal code:

Please enter area code too
Home:

Work:

Required
New member
Renewing member

PHS memberships are annual, with renewals due each January.
For NEW members joining after June 30, first year membership will be extended to the end of the following year.
See your email or address label on the PHS Archives newsletter for your expiry date.

Amounts are in Canadian dollars

Please select Membership Type and Dues Payable
Required
Individual membership: $25 /year
Sustaining Individual membership: $25 plus a donation of $25 or more/year
Corporate or Institutional membership: $100 /year
Sustaining Corporate or Institutional membership: $100 plus a donation of any amount/year

If desired, please enter your additional donation here.
Or if a Sustaining Corporate/ Institutional member ($100 plus donation), please enter amount here.

If desired, please enter your company or institutional affiliation.

All employees of a Corporate or Institutional member are eligible for Member rates at PHS functions. We can also provide additional copies of our newsletter on request. And your company will be doing more to help preserve our colorful past, for which the Society is very grateful.

Please indicate your preferred method of dues payment.
Required
PayPal Invoice
Cheque or money order

Upon receipt of this message, the PHS will send you either:

• a PayPal invoice (only a credit card and email address are needed)
• instructions to mail a cheque or money order