Membership Application
Fax / Mail Order Form

Nevis Historical and Conservation Society

"Become A Member"  and Join the fun at NHCS

"Help us conserve the natural, cultural and historic fabric
of the Island of Nevis and her surrounding sea."

Membership Benefits
Four issues per year of our newsletter, An active voice in Nevis for our environmental future,
Free use of our large archive, library and genealogical collection, Free admittance to the Museum of Nevis History and Nelson Museum, Staff expertise concerning environmental problems, Updates to website / online & e-mail - support and the opportunity to become an Executive Board Member.

Support one of the Caribbean' s most active NGO.s
Thank you for your submission. We will be contacting you soon with your membership or donation confirmation. (Please check all that apply)

Donation         Amount

  Family Membership EC$75.00 (US$30.00)
  Single Membership EC$50.00 (US$20.00)
  Corporate Membership EC$400.00 (US$150.00)
  Life Membership EC$1350.00 (US$500.00)

Plus EC$13.50/US$5.00 for postage outside of Nevis

Personal Information:
Name (First & Last)

Billing Address:

Street Address:

City: State: Zip:

Country:

Telephone: E-Mail:

Credit Card Information:

Visa Mastercard

Name on Card:

Number:

Exp. Date:     Signature

Print Form and
Mail with payment to:

Nevis Historical and Conservation Society
P.O. Box 563
Charleston, Nevis  West Indies

Fax To: (869) 469-0274