Oakville Historical Society

Name *

First Name

Last Name

Email *

Phone

Area Code

Phone Number

Address

Street Address

City

State / Province / Region

Zip / Postal Code

Country

(Address is required for charitable tax receipt if choosing a Supporting Membership)

Additional person:

Is there a second person in your household who will be part of your membership? Please provide their name and email:

Additional Name

First Name

Last Name

Additional Email

MEMBERSHIP LEVEL

Please choose your membership level:

General

x Household Membership - $35.00

General SUPPORTING

x Household Membership - $60.00

(Includes $25 tax receipt)

Senior (Aged 60+)

x Household Membership - $30.00

Senior (Aged 60+) SUPPORTING

x Household Membership - $60.00

(Includes $30 tax receipt)

Total *

$0.00

How to pay for your membership:

Make your membership payment with a Visa, MasterCard or American Express credit card, using the form below. Enter the Cardholder Name first, followed by the Card Number, Expiration Date and Security Code.

Payment: *

Cardholder Name

VISA

MasterCard

American Express

Card Number

Expiration Date

Security Code

Thank you for your support!

We are delighted to have you join us! Thank you for helping us to preserve, protect and promote Oakville's heritage.

Questions? Comments?:

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