Membership

Living History Foundation

Please use this form to join or renew your membership in the Living History Foundation. Annual Household Dues are $20.00
and are due on 1 January. Historic site dues are $36.00 per year ($8.00 per additional person). Checks should be made
payable to The Living History Foundation, P.O. Box 1016, Randallstown, MD 21133. For more information, please contact
Janice Ryan at (410) 655-9343 or John Curd at (571) 332-3265. Also, payments can be made via Pay Pal below.

Membership Form

Print form, Complete in full, and mail completed form and check for total amount due to:

The Living History Foundation
P.O. Box 1016
Randallstown, MD 21133

Or send the form by hitting send above and pay your membership fee via PayPal below.

Last Name

First Name

City

State

Zip Code

Address

Phone Numbers: (xxx-xxx-xxxx)

Day

Evening

E-mail Address

Georgian (18th Century)

Dancing

Sailing

Research

Native American

Other (specify interests)

Victorian (19th Century)

Fencing

Frontier

Archeology

African-American

Edwardian (Early 20th Century)

Riding/Equestrian

Music/Song

Interests:

Notice: The Board of Directors may deny or terminate membership at its discretion. Members agree to “hold harmless” The
Living History Foundation, its Directors, its Officers and its agents, individually and severally. Members agree to abide by
policies and procedures adopted by the Board, and to support the Foundation’s purposes and reputation.

Signature

Date (xx/xx/xx)

Home Page

“The Living History Foundation is a tax-exempt [501(C)(3)], non-profit corporation that
promotes the use of living history as a means of interpreting historic sites and events
to the public.”

Household Membership

Historic Site Initial Membership

Historic Site Additional Member