Society Membership Information Form

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Thank you so much for becoming a member of the Dartmouth Heritage Museum Society!

Please fill out this form with your most up-to-date information so we can ensure you receive all your benefits.

If you have any questions about the information we collect, feel free to contact us at info@dartmouthmuseum.ca OR call 902 464 2300

macdonea@accesswave.caWhat is your email? (This will be our main form of contacting you) *

Last Name / Surname *

First Name / Given Name *

Group Name? (For Group Memberships only)

What are your pronouns?

She/Her/Hers

He/Him/His

They/Them/Theirs

Other:

What is your address? (Number/Suite, Street, City, Province, Postal Code) *

What is your phone number?

Would you like to be added to our mailing list? The list is used to email the Gazette, as well as any special bulletins on events, exhibits, etc. We send these emails less than 1x per month.
*

Yes, please add me OR I am already on the mailing list

No thank you

What type of Membership did you purchase? *

Individual

Family

Group

What Date did you purchase your membership? *

YYYY

Any other notes or relevant information you would like to share with us?

Submit

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