THE CRESTLINE ROUNDHOUSE PRESERVATION SOCIETY

Electronic Membership Application


Annual dues: $24.00 USD

Please fill in all the areas below, then click 'Submit Form'


First Name:
Last Name:
Address:
City:
State:
Zip Code:
Email Address:
Phone Number:
(xxx-xxx-xxxx)
What interests you about CRPS?
Recording the History: Yes No
Preserving the Roundhouse: Yes No
What can you offer to CRPS?
Personal Stories: Yes No
Stories told by family members: Yes No
Photographs: Yes No
Artifacts: Yes No
Advice on grants: Yes No
Other contributions: Yes No
Please explain:
What committees interest you?
Finance and Budget: Yes No
History: Yes No
Membership: Yes No
Additional comments?
PLEASE NOTE:

After you click the 'Submit Form' button below, you will be directed to another page
where you can select your method of payment.

Remember, your application will be processed as soon as payment is received.


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