Please fill out this form and print

Mail To:

Treasurer
N.C.H.S.
1150 North Front Street
Sunbury, PA 17801-1126

Please accept my membership as:
 
Name
Street Address:
City:
State: Zip:
Phone:
email:

Category:

   Individual $    25.00
   Family $    40.00
   Shikellamy Contributor $    50.00
   Augusta Patron $  100.00
   Life Membership
        (per person)
$  400.00*
   Hunter Benefactor $  500.00

                * Life Memberships may be paid in
                  $100.00 annual installments over four consecutive years.

Membership is: New Renewal

Please contact me about:
Volunteer opportunities
Giving a memorial gift
Making a special contribution

When finished printing, CLICK HERE to return to the membership page