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This is a Gift Membership for:

Please supply as much information as possible.       * Required

Recipient's name: *

Recipient's spouse's name:

How should their name(s) appear?:

Recipient's email address:

Their primary mailing address:   Their other mailing address:

Street/PO Box:

Street/PO Box:
* Zip: *  

Please select an annual membership level for them:
$55 Individual   $250 Peter Foulger
$85 Island Family (primary residence must be Nantucket)   $500 William Hadwen
$125 Family   $1000 1894 Society, Thomas Macy
        $5000 1894 Society, Mary Gardner Coffin
I would like to make an additional gift in their name in the amount of: $
Promo Code/ Comments:
Your total contribution: $

This Gift Membership is from:

Your name: *
Your phone number:
Your email address: *
Your mailing address:

Street/PO Box:

* Zip: *
Please send the membership package to: Me
  The recipient

Payment Information:

Type of Card :   MasterCard Visa American Express Discover Card *
Name as it appears on credit card :   *
Billing Address :   Same as your mailing address
Street/PO Box:   *
City :   *
State :   *
Zip :   *
Phone :   *
Card Number : *
CVV Code : *
Expiration Date :  Month :    Year : *

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The Nantucket Historical Association is a 501(c)(3) not-for-profit corporation. The cost of all NHA membership is fully tax-deductible. 

Questions? Please call 508-228-1894, x116