WILDWOOD CREST HISTORICAL SOCIETY

Membership Application

      NAME _______________________________________________________________________

      ADDRESS  ___________________________________________________________________

      CITY  _______________________________  STATE  _________   ZIP CODE ______________

      PHONE NO.: Area Code   (                 )  _______________________________________________

Membership Dues are: $10.00 (Individual) or $15.00 (Family Rate - includes two adults and
up to 5 children age 13 and up), and $20.00 Business Rate.
Mail completed form and dues (cash, check or money order) to:
Theresa Wiiliams, Secretary, Wildwood Crest Historical Society,
116 E. Heather Road, Wildwood Crest, N.J. 08260.
You will receive a Membership Card in return, good from October to October (when yearly dues are due).