ESSEX RAILWAY STATION

Operated by Heritage Essex Inc.

Membership

Membership in Heritage Essex includes people like you who are entitled to receive our quarterly newsletter and participate in our events.

Donations assist in our programs and for donations over $10 receipts will be issued for tax credit purposes.

 

 

Heritage Essex Inc. Membership Application/Donation Form

(Printer Friendly Form)

 

Please Print:

 

NAME________________________________________________________

 

ADDRESS_____________________________________________________

 

PHONE (______)______________         E-MAIL______________________

 

 

$10.00 Annual Membership Fee attached

 

Please make your cheque payable to Heritage Essex Inc.

 

$_______ Donation (Tax receipts for donations over $10)  

 

Signature (if donating)______________________________

 

Essex Railway Station

87 Station St., Essex, ON

N8M 2C5