HSEC Membership Form

Membership

To join the Historical Society of the Episcopal Church and enter your subscription to Anglican and Episcopal History, you may:

Print out this form and mail it, together with your check for membership dues, to: Historical Society of the Episcopal Church, P. O. Box 1749, Harlingen, TX 78551

Printable .pdf version here.

The Historical Society’s Administrator, Susan Johnson, can accept mailing addresses of new members over the phone.

Queries about membership can be E-mailed to administrator@hsec.us. The Historical Society cannot accept credit card transactions by E-mail at this time since it does not have an encrypted site.

Membership Categories	One Year	Three years
Regular	____ $45	____ $120
Retiree or Student	____ $25	____ $65
Institutions	____ $60	____ $160
Sustaining	____ $100-249
Patron	____ $250–$499
Benefactor	____ $500 and higher for benefactors

For Yourself: Amount enclosed for membership: $ ____.__

Name:	____________________________________
Address 1:	____________________________________
Address 2:	____________________________________
City, state, ZIP:	____________________________________
Diocese: _____________ Daytime Phone: ____________ E-mail: _____________

Give a Gift Membership! Amount enclosed for gift membership: $ ____.__

Name:	____________________________________
Address 1:	____________________________________
Address 2:	____________________________________
City, state, ZIP:	____________________________________
Diocese: _____________ Daytime Phone: ____________ E-mail: _____________
Category of membership: _________________ Name of donor: _________________________

I enclose an additional donation for the Endowment Fund
in the amount of $ ____.__

Total enclosed $ ____.__

____ My company has a Matching Gift Plan, and I have completed and enclose the appropriate form with my check.
____ I would like to receive information about the tax-saving opportunities of a planned gift to the Historical Society of the Episcopal Church.
____ Please send membership information on the Historical Society of the Episcopal Church to the following person(s):

Name:	_____________________________	______________________________
Address 1:	_____________________________	_______________________________
Address 2:	_____________________________	_______________________________
City, state, ZIP:	_____________________________	_______________________________

Form of payment:
____ Check enclosed (payable to Historical Society of the Episcopal Church)

Membership dues to the Historical Society of the Episcopal Church, and donations to its Endowment Fund, are deductible as charitable contributions from federal and state income taxes.