D & H Printable Membership Form

D & H Canal Historical Society
High Falls, NY
(845) 687-9311

The purpose of the D&H Canal Historical Society
is to preserve, protect and perpetuate
the unique history of the Delaware and Hudson Canal
particularly in Ulster County

[Print this Form]
[Close this window]

The following annual memberships are available:

r	Canawler	$25.00
r	Barge Crew	$40.00
r	Lock Tender	$60.00
r	Tavern Keeper	$100.00
r	Boat Captain	$200.00
r	Paymaster	$500.00
r	Financier	$1,000.00
r	Tycoon	$1,500.00

Please print clearly:

Name: __________________________________________________________________

Address: ________________________________________________________________

City: _________________________________ State: _______ Zip: __________________

Phone: _______________________ Email: _______________________________

Please make checks payable to: D & H Canal Historical Society or charge my Credit Card
Check one: r American Express r MasterCard r Visa

Card number: ___________________________________ Exp. Date _________ Amount $ _________

Signature ______________________________________

(To join by phone with a Credit Card please call 845-687-9311.)

PLEASE PRINT & MAIL THIS FORM TO:

D & H Canal Historical Society
P.O. Box 23
High Falls, NY 12440

4/1/2005