www.titanichistoricalsociety.org & www.titanic1.org

Become a Member of The Titanic Historical Society

Registration Form

Print and fill in completely. Enclose this form with credit card details or a check in $USD dollars

Name:
Street:
City:	State/Province:	Post Code:
Tel:	E-Mail:

MasterCard or Visa (check box)

Check payable to: The Titanic Historical Society, Inc.

Mastercard

Visa

_ _ _ _ / _ _ _ _ / _ _ _ _ / _ _ _ _

Expiration Date:

(MM/YY)

Enclosed $

Select Membership Level:

Bronze

Silver

Gold

Check Box if a Renewal Membership

The Titanic Historical Society, Inc.
P.O. Box 51053
Indian Orchard, MA
01151-0053 USA

Bronze Membership: $50.00 USD You will receive a Membership Card, a subscription to The Commutator which is issued 4 times a year. At this level your fee covers the costs involved in production and mailing of The Commutator. You also receive Free Admission to the Titanic Museum, access to our website services and you are also eligible to participate in all Titanic Historical Society activities.

Silver Membership: $60.00 USD You will receive a Membership Card, a subscription to The Commutator which is issued 4 times a year. You receive Free Admission to the Titanic Museum, access to our website services and you are also eligible to participate in all Titanic Historical Society activities. Since Silver Membership provides a small amount toward our preservation efforts your name will be listed on our Silver Roll of Honor.

Gold Membership: $100.00 USD You will receive a Membership Card, a subscription to The Commutator which is issued 4 times a year. You receive Free Admission to the Titanic Museum, access to our website services and you are also eligible to participate in all Titanic Historical Society activities. Since Gold Membership provides a greater amount toward our preservation efforts your name will be listed on our Gold Roll of Honor. You will also be eligible for Gold Member Only offers or discounts offered by the THS.