Membership Registration Form
Membership Year: August 1 to July 31
Membership Options:
Registration Type: New
Renewal Membership Number:
Please make a selection.

Membership Type: Individual ($75)
Family - 2 people at the same address ($75)
Library or Archival Centre ($40)
Please make a selection.

Optional Donation:
I would also like to make a donation to QFHS with my dues. I will add $   to my dues to cover this donation. I understand that I will receive a receipt for this donation mailed in January.

Member Information:
Last Name or Organization Name:   Required
First Name or Org. Contact Name:   Required
Family Member Last Name:   (Only if "Family" Membership)
Family Member First Name:   (Only if "Family" Membership)
Address:   Required
Address 2:  
City:   Required
Province / State:   Required
Postal / Zip Code:   Required
Phone:   Required, formatted as (000) 000-0000
Email:   Required