- You may also print out this page, fill out the information, and mail it with your check, moneyorder or credit card info to:
Pacifica Historical Society, Box 752, Pacifica CA 94044
YOUR INFO
- Name:
- Address:
- Phone #:
- Email:
CREDIT CARD INFO
- Type (circle one): Visa / MasterCard / Amex
- Card #:
- Expiration:
- Code (on back):
Membership level (circle one):
- $500 (PHS Gold)
- $250 (PHS Silver)
- $100 (PHS Patron)
- $25 (Family, Couple)
- $20 (Individual, Senior Couple)
- $15 (Senior or Student Individual)
