2023 Membership Form Use this online form or Print out form to mail in here>> Please enable JavaScript in your browser to complete this form.Name *FirstLastSpouse's NameFirstLastAddress *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *Can we add you to our Email list? Yes. I want to hear about upcoming eventsNoWe only send emails related to LPHS events and activities. You may opt out at any time. Phone NumberAre you a new member or renewing your membership?New MemberMembership RenewalAnnual Membership - 2023Single Adult - $25.00Family - $35.00Business/Professional - $60.00Contributor - $125.00Benefactor - $300.00Additional DonationThank you for adding to your membership and supporting the Litchfield Park Historical Society!Notes or Gift Membership InformationTotal$0.00Next Mission Statement To connect generations by fostering an understanding and appreciation of the history, arts, and culture of the Southwest Valley. Vision Statement To be the historical and cultural heart of the Southwest Valley. Core Values We serve as stewards of history, arts and culture.We foster a respect for all peoples, cultures and beliefs.We create an environment dedicated to life-long learning.We demonstrate excellence and integrity in all we do.We weave connections linking our communities.