Corporate Members























Membership

Clatsop County Historical Society Printable Membership Form

Please print and complete this form, and mail to:
Membership Department
Clatsop County Historical Society
P.O. Box 88, Astoria, OR 97103-0088
or you may fax the form with your credit card information to (503) 325-7727.

Your membership entitles you to:

  • FREE admission to:
    • Flavel House Museum
    • Heritage Museum Research Center & Archives
    • Uppertown Firefighters Museum
  • An annual subscription to the quarterly historical journal, CUMTUX.
  • The Society’s periodic newsletter
  • 10% discount on items in the museum shops

This is a: New Membership Renewal  Gift Membership

Student
$15
Business
$200
Individual

$35

Contributer

$250

Family/Dual

$55

Patron
$500
Friend

$100

Corporate

$1000



Title, first, last name: 
Second adult
Title, first, last name: 
Address: 
City/State/ZIP: 
Phone Number: 
Email: 
If this is a gift, please indicate who the gift is from: 
Title, first, last name: 
Address: 
City/State/ZIP: 
Phone Number: 
Email: 
Please charge to my credit card account: VISA MasterCard  AMEX
Account Number: 
Expiration Date: 
/
Name on Card: 
Signature: 
I am enclosing a check payable to CCHS.

I'm interested in occasionally assisting with Society events or musuem activities.
    Please contact me.

Comments or questions (If gift, special message to recipient):