Gift Membership
Port Moody Heritage Society
Your Name: __________________________________________________ Date: __________
Amount Enclosed: $10 Basic $__________
Recipient's Name: __________________________________________________
Recipient's Address: __________________________________________________
City: __________________________________________________ Postal Code: ___ ___
Phone: ___ ___ ____ e-mail: _________________________
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] • http://vcn.bc.ca/pmmuseum/
Print out form and take to museum with cash or cheque.
revised October 2, 2009