Manhattan Project Heritage Preservation Assoc., Inc.

Membership Application

Please complete the application form below and "click" the Submit Form button at the bottom.  Once received, we will forward you an invoice which you may then pay on-line or with a check.  All membership fees are tax deductible.  All membership fees are used to maintain this web site.

 

       1.  Please enter your contact information here.  Please be sure to enter your e-mail address "twice" in the spaces provided:  (*  Required Fields)

* First Name
* Last Name
* Middle Initial
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
* E-mail
* E-mail (Re-enter)

 

        2.  Please choose your membership category and payment option below.  The membership fee is tax deductible and we will e-mail (or mail) an invoice to you which you can pay securely on-line or pay by check.  (Please note:  Per our by-laws, we will accept restricted contributions.  What this means is that for any membership category above the Basic Level, you may restrict 50% of the contribution to a specific "cause" listed below in Item #6)  "Click" on the various categories below to read a complete description of the category! 

 

Membership Category Payment Options
   
 Student Membership - $ 15.00  1 Payment of $ 15.00
   
 WWII Veteran Membership ** - $ 25.00  1 Payment of $ 25.00
   
   
 Basic Descendent / Family Member / Friend / Other Membership - $ 30.00  1 Payment of $ 30.00
   
   
 Corporate / Organization Membership - $ 35.00  1 Payment of $ 35.00
   
 Donor Level Membership - $ 50.00   1 Payment of $ 50.00
   
    $ 25.00 per Month for 2 Months
   
 Silver Level Membership - $ 75.00   1 Payment of $ 75.00
   
    $ 25.00 per Month for 3 Months
   
 Gold Level Membership - $ 100.00   1 Payment of $ 100.00
   
    $ 50.00 per Month for 2 Months
   
    $ 25.00 per Month for 4 Months
   
 Platinum Level Membership - $ 150.00   1 Payment of $ 150.00
   
    $ 50.00 per Month for 3 Months
   
    $ 25.00 per Month for 6 Months
   
 Supporter Level Membership - $ 250.00   1 Payment of $ 250.00
   
    $ 50.00 per Month for 5 Months
   
    $ 25.00 per Month for 10 Months
   
 Special Donor Level Membership - $ 500.00   1 Payment of $ 500.00
   
    $ 125.00 per Month for 4 Months
   
    $ 50.00 per Month for 10 Months
   
 Benefactor Level Membership - $ 750.00   1 Payment of $ 750.00
   
    $ 250.00 per Month for 3 Months
   
    $ 150.00 per Month for 5 Months
   
    $ 75.00 per Month for 10 Months
   
 Sponsor Level Membership - $ 1000.00   1 Payment of $ 1000.00
   
    $ 250.00 per Month for 4 Months
   
    $ 100.00 per Month for 10 Months
   

          **  Military or Civilian Working in any War Capacity

        3.  I am a... (please choose one):

Manhattan Project Veteran (Military or Civilian)
Other WWII Veteran
Family Member of a Veteran
Student
Educator
Historian
Non-Profit Organization
Other

        4.  If you would be willing to serve on a "virtual" committee, please let us know below:

Membership
Fundraising
Oral History
Publicity
Board of Advisors
Not at this Time
 

        5.  Select any of the following interests that apply:

Recognition of Manhattan Project Veterans
Preserving Manhattan Project Historic Landmarks
Advocating Peaceful Uses of Atomic Energy
Counteracting Historical Revisionism
Educating Our Youth About the Manhattan Project
World War II Veteran History Project
Other (Please include in comments section below)
 

       

        6.  Please enter any additional information or comments below:


 
Copyright © 2004 [Society for the Historical Preservation of the Manhattan Project]. All rights reserved.
Revised: 07/29/05