Membership Form

Oak Ridge Heritage & Preservation Association

ORHPA
P. O. Box 5825
Oak Ridge, TN 37831

Print, fill out & mail:

Name: __________________________________________________________________

Address: _______________________________________________________________

City/State/Zip: ________________________________________________________

Phone:__________________________________________________________________

Email Address:__________________________________________________________

Membership Category ___ $15 Student

___ $20 Individual

___ $30 Family

___ $75 Patron

___ $250 Sponsor

___ $500 Benefactor

___ $1,000 Major Benefactor

I am willing to work on an ORHPA Committee

___ Alexander

___ DOE/Public Structures

___ Finance

___ Membership

___ Oral History

___ Publicity

___ Wildcat Den

I am particularly interested in the following (check as many as apply)

___ Preservation of Historic Buildings

___ Oral History Project

___ Establishing a Museum of Oak Ridge/Manhattan Project History

___ Genealogy

___ Other (describe)