Tulpehocken Settlement
Historical Society
116 N. Front St., PO Box 53
Womelsdorf, PA 19567
(610) 589-2527

Membership application

for the Tulpehocken Settlement Historical Society

Please fill out the following form, submit it and mail the appropriate dues amount to: Tulpehocken Settlement Historical Society, 116 N. Front St., PO Box 53, Womelsdorf, PA 19567

Member Information

    First Name: 
     Last Name: 
Street Address: 
          City: 
         State: 
      Zip Code: 
     Telephone: 
           FAX: 
        E-mail: 
          Year: 
 Surnames and subjects for genealogical exchange:
 
Geographical location:

Type of Membership

Select which type of member you wish to become:

Annual Membership ($25 dues)
Life Membership ($250 dues)

Application Submission

Once you click on "Register," your application will be submitted via e-mail to the Society. Please promptly remit the appropriate dues amount by mail to: Tulpehocken Settlement Historical Society, 116 N. Front St., PO Box 53, Womelsdorf, PA 19567