The Preservation Society of Chapel Hill Membership Form
610 East Rosemary Street      Chapel Hill, NC  27514     (919) 942-7818
This form can be completed on your screen and then printed directly from this web page.  .  If paying with a check, please send this form with payment to the address listed above. 

  Name:                            Date:     

  Address:                    

  City, State & Zip:       Phone:      

  Payment Information:      

             ( Membership runs from March 31st to March 30th of the following year.)

  Personal or Company Check               

       Check Number:           Check Amount:   $

  Credit Card (Visa or Master Card only)

      Name as printed on card:     Exp Date      

      Card #:     Charge Amount: $      

      Signature                          


      Membership Type

   Horace Williams Society    $1000+             

   Benefactor    $500 - $999                 Patron    $   250 - $499             Donor     $100 - $249 

   Family   $ 35  - $ 99                 Individual    $ 25                       Student


      Member Options

  I would like to volunteer at events - cooking,  serving, clean up

  I would like to volunteer with funding

  I would like to volunteer with tours

  I am interested in planned giving (i.e., Charitable Trust, Gift Annuity, Bequests, etc.)