2026 Prevatte Historical Society Annual Dues Payment
Membership period – January 1 thru December 31
Instructions
Please follow the instructions and fill out the information requested below.
In order to credit the correct account, we will need your
Membership ID
.
Members have the option to purchase yearly memberships for other members. When you select the option for yourself and additional members, you will need to complete their full membership information that follows.
When you have completed the membership infomation, the total will be displayed in the "
Membership Fee Total
."
In the payment area, please enter the
quantity of memberships
purchased in the "
Memberships Quantity
" dropdown. The "
Membership Fee Total
" and "
Memberships Quantity
" fields should be the same.
Select any additional items desired in the Payment Area complete the credit card transaction.
How many memberships are you paying for?
*
Just myself ($21)
Myself + 1 additional member ($42)
Myself + 2 additional members ($63)
Myself + 3 additional members ($84)
Primary Member Full Name
Membership Id Number
*
This is for verification due to members having the same name.
Primary Member Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
*
example@example.com
Additional Member #1 Full Name
*
Additional Member #1 User ID
*
Additional Member #1 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Additional Member #1 Phone Number
Please enter a valid phone number.
Additional Member #2 Full Name
*
Additional Member #2 User ID
*
Additional Member #2 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Additional Member #2 Phone Number
Please enter a valid phone number.
Additional Member #3 Full Name
*
Additional Member #3 User ID
*
Additional Member #3 Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Additional Member #3 Phone Number
Please enter a valid phone number.
Membership Fee Total
Please select the the correct cost for the Memberships Purchased option below to complete payment process.
*
I confirm that the quantity selected in payment matches the number of memberships above.
My Products
*
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( X )
Memberships Purchased
Please set quantity to match the number of memberships selected above.
$
21.00
Quantity
1
2
3
4
Cemetery Support
Select an increment of $5
$
5.00
Quantity
1
2
3
4
5
6
7
8
9
10
Scholarship Support
Select an increment of $5
$
5.00
Quantity
1
2
3
4
5
6
7
8
9
10
Other Support
Select an increment of $5
$
5.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
Submit
Should be Empty: