Membership Application
Port Moody Heritage Society
Membership Fees: Basic $10 Corporate $25 Life $500
Name: __________________________________________________
Address: __________________________________________________
City: __________________________________________________ Postal Code: ___ ___
Phone: ___ ___ ____ e-mail: _________________________
Date: _______________ Amount Enclosed: $__________
Signature: _________________________
Would you like to recieve email updates on Museum events?
[ ] Yes [ ] No
Donations to the museum are always gratefully accepted.
Tax receipts are provided for donations over $25 or by request.
Port Moody Station Museum, 2734 Murray Street, Port Moody, BC, V3H 1X2
Telephone: (604) 939-1648 • e-mail [email protected] • web http://vcn.bc.ca/pmmuseum/
Print out form and take to museum with cash or cheque.
revised October 2, 2009