[Click the link below for a pdf file of this form]

FANHS Stockton Membership Form

Mail to: FANHS Stockton Chapter, Attn: Membership Coordinator, PO BOX 4616, Stockton, CA, 95204

Today’s Date ___________                                               e-mail: _____________________________

NAME _____________________________________________________ PHONE# _____________

Company Name: (if applicable) _________________________________________________________________________________

ADDRESS _________________________________________________________________________________________________

CITY, STATE, ZIP __________________________________________________________________________________________

Enclosed is $ _________ for __________________________________________________________

                                                                                                   (membership category)

(If “Family” membership, please print names of underage children living at home)

Why I joined FANHS (or other information for our quarterly newsletter): ______________________

__________________________________________________________________________________________________________

I am unable to participate as a member at present, but here is a donation to support your endeavors: $_______.

I wish to donate funds as a memorial or in honor of _______________________________________ in the amount of $______.

MEMBERSHIP BENEFITS:

o   Free Stockton Chapter brochures, flyers and quarterly newsletters.

o   Free admission to historical presentations and lectures.

o   Invitation to exclusive exhibit openings and activities.

o   Annual Sponsor/Donors also receive free advertisement (business card) on each quarterly newsletter and FANHS Stockton Chapter Website.

o   Free use of Stockton Chapter pictures, exhibit boards and archives to display at their business (with pre-authorization).