Victorian Society in America ~ Philadelphia Chapter

Welcome to the Membership Page!

January is our membership renewal peirod.  For existing members, please take a moment to look at your mailing label to determine your membership expiration date.  If the date is 12/05 or older, please renew now to remain on the active mailing list.

Please fill out the form below and be sure to send your membership dues to the address shown at the bottom of the page.  For new memberships, payment is expected within 10 days of submission.  For renewals, please be sure to send your payment prior to your expration date (see mailing label for date).

Please complete all fields.  Your information will only be viewed and retained by our membership chairman and webmaster.

New Membership

Renewal

First Name:

Last Name:

Address:

City:

State:

Zip:

Home Phone:

Work Phone:

Email Address:

May we contact you via email?

Yes No

Membership Type:

Individual One Year - $15 Individual Two Year - $25 Family One Year - $20 Family Two Year - $35

Would you prefer flyers sent via:

Regular Mail Email (this helps save postage costs)

Please make checks payable to the "VSA - Philadelphia Chapter" and send to: David Ewaniuk, Membership Chairman 1175 S. Old Bethlehem Pike Quakertown, PA  18951 215-538-1122