Roxbury Historic Trust
Online membership application for the Roxbury Historic Trust (Ledgewood, New Jersey)
Your name(s)
*
Street address
City, State, ZIP
Morning phone
Evening phone
Your email
*
Would you like to become a member?
*
(If you want to pay for a membership AND make a donation, click the appropriate membership button and explain how you want your payment divided in the comments section.)
Yes, I want to be a member ($25 each per year, $50 per couple)
Yes, I want to be a Corporate member ($150 per year)
Yes, I want to be a student member ($10 per year, up to age 21)
I already am a member and want to renew
I want to make a donation
Areas you would like to be involved
Historical guide and interpreter
Leadership committee
Fundraising
Research
Maintenance
Special areas of your expertise
Would you like to receive our newsletter by email?
Yes, send it to me by email (a PDF with full color)
I would rather receive it by regular mail (black & white only)
How did you hear about us? Do you have any questions or comments?