Membership Renewal/Registration

Name*

First NameLast Name

Name of Organization (if Group Membership)

Phone Number*

Please enter a valid phone number.

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Are you currently a member of the Colonial Pennsylvania Farmstead?*

YesNo

Special Instructions (ie; if you are gifting a membership, who should the membership be made out to? Is the mailing address different from above? etc)

If you are a library, please use this form: Library Memembership.

My Products*

Membership: Student/SeniorWith Valid Student ID or 65+

$35.00 Quantity

Membership: Adult IndividualAdmits cardholder

$40.00 Quantity

Membership: CouplesAdmits 2 adults

$65.00 Quantity

Membership: FamilyAdmits 2 adults and up to 4 children in the same household

$85.00 Quantity

Membership: ContributingFamily Admission plus 4 additional guests

$150.00 Quantity

Membership: SustainingFamily Admission plus 8 additional guests

$300.00 Quantity

Membership: Sponsor A MembershipHelp us by sponsoring a membership so that we may bring our educational programming to community centers, libraries and schools in underserved areas.

$50.00 Quantity

Total

$0.00

Signature*

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

Membership Registration and Renewal