Candor Historical Society Membership Form

P.O. Box 585, Candor, NY 13743

Become a member of the Candor Historical Society and help support the history of our community and the preservation of materials related to that history. Dues are collected in January of every year, although you may join at any time.
Name*

First NameLast Name
If you are registering for two different people or for a family membership, please put the other person's name below.
Name

First NameLast Name
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Phone Number:*

Area CodePhone Number
Cell Phone Number

Area CodePhone Number
Please choose one membership option. If you'd also like to make a donation, please put the amount you want to donate in the Make a Donation box. The total amount will be automatically calculated under "payment amount". Then click on PayPal, and that is the amount that you will be charged.
Senior (65 or older) $10.00Individual $20.00Family $30.00Contributing $50.00
Make a donation
Amount
Calculation
Payment amount*

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USDDonation
Number
By clicking the "PayPal" button you are submiting your online application and will be re-directed to PayPal Giving to submit your payment. Once we receive your payment, you will be added to our membership roll. Your dues help us to pay for insurance, utilities, and supplies for our History Center.

Thank you!
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P.O. Box 585, Candor, NY 13743