Membership Form

Home Contact Search

Visitor Information

Become a Member of the WRHS!

Please fill out the information below and click on "submit" to join the Western Reserve Historical Society. Your membership packet will be sent to you in the mail.

Membership Application Form

( * indicates required information)

* Membership Type:

* Membership Level:

Member's Name:

Mr. Mrs. Ms. Dr.

  * First   Middle * Last

Spouse/Other Adult (for Family/Couple memberships & above):

Mr. Mrs. Ms. Dr.

First Middle Last

* Address:

* City: * State:

* Zip:

* Home Phone:   Bus. Phone:

E-mail:

Gift Membership

If this is a gift membership, please indicate below where you would like to have the membership packet mailed. If you chose to have it sent to yourself first (the gift giver), make sure to fill out the name and address information below completely to be sure it gets to you properly.

* Information required if this is a Gift Membership

Mail Membership Packet to:
   (only fill out this information if this is a gift membership!)

Giver Name:

Address:

City: State:

Zip:

Home Phone:   Bus. Phone:

E-mail:

Payment
* Charge to: Visa Mastercard Discover American Express

* Card Number: (do not use spaces or dashes)

* Exp. Date: of

* Name on Card:

I am interested in the following Western Reserve Historical Society Auxiliaries:

African American Archives Auxiliary

Museum Advisory Council

Friends of the Library

Friends of the Crawford Auto-Aviation Museum

The Genealogical Committee

Enclosed is an additional tax-deductible contribution in the amount of:
$

Yes! I am interested in volunteering my time & talent. Please call me at

For further information, please call The Western Reserve Historical Society at (216) 721-5722 ext 260.

These membership application pages are encrypted to protect your private information from being viewed by others over the Internet. In order to navigate these web-pages, your browser must support 40-bit encryption. If you are having problems using them, you may need to upgrade to the latest version of your browser.