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SMOP Membership Payment Form

GIFT MEMBERSHIP

Gift Membership Category
Prefix
First Name *
Last Name *
Suffix
Country
Address Line 1 *
Address Line 2
City *
State/Province *
Postal Code *
Gift Membership Type
The # of Adults and Children are required for Family Memberships
Where to send the gift membership.

Select a Payment Method
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Visa®, MasterCard® & Discover® cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

American Express® cardholders
Your security code is the 4-digit code located above the actual credit card number on your card's front.

Your total payment will be
Your credit balance will cover
Your credit card will be charged
Your bank account will be charged
Country
Address Line 1 *
Address Line 2
City *
State/Province *
Postal Code *

How did you hear about PHF?
Thank you for your gift membership to the Pennsylvania Heritage Foundation! We love hearing how our members came to learn about us. We hope you'll let us know how you found us!

 

A copy of the official registration and financial information may be obtained from the Pennsylvania Department of State by calling toll-free within PA (800) 732-0999. Registration does not imply endorsement.

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