Membership Application

Membership Application

Help us preserve the history of Eastern Santa Cruz County
Full Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Street Address

Street Address

Mailing Address
CityState / ProvincePostal / Zip Code
Type of Membership
Annual Dues
prevnext( X )
Individual
$35 Individual

$35.00



Family
$50 Family

$50.00



Business
$200 Business

$200.00



Total

$0.00

Debit or Credit Card

Choose from one of the PayPal options to make your payment.