New Individual Membership

Individual Membership

Yukon Historical & Museums Association
Name*

First NameLast Name
Position
Organization
Email*
example@example.com
Mailing Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Billing Address (if different from above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Alternate Phone Number

Area CodePhone Number
Send bi-annual newsletters by:*

EmailPost
Send other news and updates by:*

EmailPost
TIA Yukon Membership

Yes, please share my contact information with TIA Yukon to activate my free Affiliate Membership and discount eligibility for Direct Membership, and add me to the TIA Yukon mailing list. For more details on TIA Yukon memberships, visit https://tiayukon.com/become-a-member/.
Contractor Database

Yes, I would like to listed in YHMA's contractor database. Please follow up with me to confirm details.

Membership Type*

Individual 1-Year

$40CAD

Individual 3-Year

$100CAD

Student/Senior 1-Year

$30CAD

Student/Senior 3-Year

$75CAD

Patron (1 Year)

$150CAD

Total

$0.00CAD

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