Join/Renew Application

Select Country First:*

First Name:*

Last Name:*

Corporation or Accredited Institution Name:

NOTE: Only needed for
Corporate/Institutional Memberships

Please List any Contact Personnel (Optional) or Household members (for Household Membership).

List Contacts/Household Members:

NOTE: For Corporate or Household Memberships only
First and Last Name followed by a comma, with
one person on each line, not including yourself.

Enter the address where you receive your mail

Mailing address:*

If additional address info is needed-Use this box.

Addtional Address (If Needed):

City:*

State:*

ZIP or Postal Code:*

Phone number:*

Phone numbers are kept confidential.
Only used to contact members.

Phone number Listed?:*

Do you want your phone number listed
in the NAPHA Membership Directory?

YesNo

Email:*

E-mail addresses are kept confidential.
Only used to contact members .

E-Mail Address Listed?:*

Do you want your E-Mail Address listed
in the NAPHA Membership Directory?

YesNo

Select Membership Type:*

NOTE: 6 month Trial Membership is only for Individuals
who have never been NAPHA members.

Foreign Surcharge (US$):

If you like, you may donate to NAPHA's Heritage Fund

Optional Heritage Fund Donation-(US$ Only)::

Would you like to donate to the
NAPHA Heritage Fund in US$?

The Total Cost of Your Membership will be Shown

Total Membership plus Donation (US$):

Please check all your entries above before submitting!

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Founded in 1978, the National Amusement Park Historical Association is an international organization dedicated to the preservation, documentation, and enjoyment of the amusement and theme park industry - past, present and future.