Membership

APPLICATION FOR MEMBERSHIP IN THE AMERICAN CANAL SOCIETY

Believing in the need for a national medium of exchange of canal information, as well as an organization which can speak for canal enthusiasts throughout the country on matters affecting the preservation and use of canals, I hereby submit application for membership in the AMERICAN CANAL SOCIETY.

Name:

Street:

City:

State, Zip, Country:

I am presently a member of the following canal societies or associations:

My particular interest in canals is:

Regular Membership: $ 20.00 per year

Dual Membership (including spouse or other person at the same address): $ 25.00 per year

Sustaining Membership (including all members of immediate family): $ 35.00 per year

Patron Membership: $ 50.00 per year

LIFE MEMBERSHIP: $ 200.00

Please print out this form, complete it, and forward with your check payable to the AMERICAN CANAL SOCIETY to: Charles W. Derr, Secretary-Treasurer, 117 Main Street Freemansburg, PA 18017

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Revised: 8/13/06