Cleveland Police Historical Society, Inc & Museum

Annual Membership
Please print out this form and mail with your payment to become a member. 
 

     Address:

            City:   State:   Zip:  

Best way to contact you:

   Call Me:    Email Me:    Do not contact me:
 

   Phone Number:    Work  Home
 

Email Address: 

PLEASE CHECK ONE:

     Individual, One Year Non Police $78      Individual, Two Year Non Police $156 

     CPD Retired, Contact Museum              Donation $

Law Enforcement Officers please contact your Commanding Officer for form to fill out.

METHOD OF PAYMENT:
Check (payable to Cleveland Police Historical Society)
VISA MC Expiration Date

Signature

Total Amount $