Membership Renewal Form

Procedure:

  • Fill in the blanks with the appropriate information.

  • Print out completed application.

  • Pay with Paypal or send application with your check or money order (drawn on U.S. bank or by international postal money order payable) to Titanic International Society.

Titanic International Society
Renewing Member
c/o Robert Bracken
47 Van Blarcom Avenue,
Midland Park, NJ 07432
  USA


If you have any questions, call (814) 899-5438 or e-mail Dshuttle401@aol.com

Today's date

Name

Title First M.I. Last

Address 1

Address 2

City State/Province

Zip/Postcode Country

Year of birth Occupation

Phone number (include area code)

E-mail address

Membership Dues
United States dollars

$45.00 US Members - 1 year
$85.00 US Members - 2 years
$50.00 Canadian and overseas - 1 year - payable in US funds, international money order, or PayPal
$95.00 Canadian and overseas - 2 years - payable in US funds, international money order, or PayPal

Please note: Renewals for Canadian and overseas members payable by international money order and/or a check drawn on a U.S. bank. Please do not send cash. Paypal currently available.