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Special Membership Offer

Get a copy of Historic Pennsylvania with your membership. Excellent choice, gift-giver! Give us some information about your gift preferences, and let us know who the lucky recipient is (it's cool if that's YOU!) and where you'd like the gift membership card and book sent.

Is this gift membership for yourself or someone else? *

Someone else
For me!

Select Membership Level *

Keystone ($2500)
Chairman ($1000)
Benefactor ($500)
PA Patron ($150)
Advocate ($50)

Gift RECIPIENT

Please provide the RECIPIENT'S information so we can set up their membership.

Title

First Name *

Last Name *

Address 1

Address 2

City

State/Province

Zip

Phone

Email *

About your gift membership. Let us know your gifting preferences (even if you're just treating yourself).

Do you want to include the gift card and book? *

Send the book and gift card to the address above

Yes
No, send to the address I put below.

Enter the ship to address

Please provide YOUR phone or email address in case we need to contact you with questions about this order. *

GIFT CARD DETAILS

Tell us how you'd like the gift card filled out (To leave it blank, type BLANK)

What name should be in the FROM section? (the person who is GIVING the gift membership)

What name should be in the TO section? (the person you are giving the gift membership to) *

We hate spam as much as you do. Please confirm you're a human!

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Special Membership Offer

Gift RECIPIENT

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