MEMBERSHIP FORM
We invite you to become a member. Free gifts are available when joining at several membership levels.  Everyone receives a 10% discount in our Lighthouse Gift Shop.  Regular Updates when your e-mail address is filled in.  When finished print form and mail to:

CHARLOTTE-GENESEE LIGHTHOUSE HISTORICAL SOCIETY
70 LIGHTHOUSE STREET
ROCHESTER, NEW YORK 14612-4710

Senior Citizen / Student                                                  $ 8.00

Individual                                                                     $ 15.00

Family                                                                          $ 25.00

Contributing                                                  $ 30.00 to $49.00

Supporting (Free T-shirt)                              $ 50.00 to $99.00

Patron (Free Sweatshirt)                                $ 100.00 to $499

Curator (Free Mounted photo)                  $ 500.00 to $999.00

Lighthouse Keeper                                          $ 1,000.00 & up

 (T-Shirt, Sweatshirt, & Mounted Photo)               

Business                                                                       $ 25.00

Business                                                           $ 50.00 & up* 
      (*1-year listing in The Genesee Beacon Newsletter)

Check one:         NEW            RENEWAL 

Name:   

No. & Street:   

City:      State:   

Zip Code:   

E-mail Address: 

(E-mail address will allow you to receive updated news )

Home Phone: ()     -      (Print Form & Mail to above address)

Copyright 2006 Charlotte-Genesee Lighthouse Historical Society, Inc.
webmaster1@geneseelighthouse.org