Print out this page, fill it out the application, and mail it to:
Lincoln Highway Association — Treasurer
P.O. Box 1326
Delaware, OH 43015
Date: ____________________ Annual membership is from date of enrollment.
( ) New Membership ( ) Renewal
Membership Categories:
( ) Student:* $25 ( ) Individual: $45 ( ) Family: $60 |
( ) Libraries, museums & historical societies: $45 ( ) Local, state, and county governments: $45 ( ) Supporting: $75 |
( ) Patron: $150 ( ) Business: $75 |
( ) Corporate: $150 ( ) Life: $1000 and up |
* Students: include copy of front and back of student ID card
State Affiliation
Members who live in Lincoln Highway states are automatically members of that state's chapter. Dues for additional chapter memberships are $9.00 per year per state. Check the appropriate box. |
[ ] NY [ ] IN [ ] CO |
[ ] NJ [ ] IL [ ] UT |
[ ] PA [ ] IA [ ] NV |
[ ] WV [ ] NE [ ] CA |
[ ] OH [ ] WY |
Please Print
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The Lincoln Highway Association is exclusively charitable and educational, within the interpretation of Section 501(c)(3) of the Internal Revenue Code.
Payment Method:
( ) Check (payable to Lincoln Highway Association) |
Credit card: ( ) Visa ( ) MasterCard ( ) Discover
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