Membership

Membership in Waverly Historical Society runs annually from July 1 through June 30.

If you would like to become a member, please donate online via Paypal or print this page, complete the form & mail.

Membership Dues:
Platinum ........ $500 +
Gold .........$100 - $499
Silver ....... $50 - $99
Bronze ..... $25 - $49
Other ______________


Name: _______________________________

Address:_______________________________

City: _________________________________

State: ______________ Zip: ________________


Phone: ________________

E-mail: ________________


Payment Amount Enclosed $ ________________

"In Memory Of" Name: ________________

Donation $ ________________

Please make checks payable to:
Waverly Historical Society
PO Box 45
Waverly, NY 14892