In completing this application form, please circle appropriate membership type desired, enclose annual membership fee and mail to the German-Canadian Historical Association at the address below.

Annual Fee:

Regular Member $28.00 Student Member $14.00
Pensioner $14.00 (upon request) Sustaining Member $42.00
or:
Life-time Member $400.00

For information on corporate, organization or honorary memberships, please contact the Association.

Name _________________________________________________________

Profession ____________________________________

Address _________________________________________________________

 ____________________________________

Tel.(Res.)______________________________Tel.(Bus.) ____________________________________
 

A cheque in the amount of $_________________ is enclosed.
PLEASE MAKE THE CHEQUE PAYABLE TO GERMAN-CANADIAN HISTORICAL ASSOCIATION

Mail to:

GERMAN-CANADIAN HISTORICAL ASSOCIATION

DEPARTMENT OF MODERN LANGUAGES,

UNIVERSITY OF PRINCE EDWARD ISLAND

CHARLOTTETOWN, P.E.I. C1A 4P3
 
 

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