Lewes Historical Society

The Lewes Historical Society Membership Application

Please print this form, fill it out, and send it in.

Please select your membership level:

Name:___________________________________________________________

I am a:

Address:______________________________________________________________

City:_______________________________ State:______________ Zip:____________

Telephone:____________________________ Email:____________________________

My check is enclosed or please bill my credit card $____________________

CC# ___________________________________________ Exp. Date _______________

Special Mailing Instructions & Comments:

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

Please mail application and check to:

The Lewes Historical Society
Attn: Membership
110 Shipcarpenter Street
Lewes, Delaware 19958