Membership Form

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Become a Peerless Rockville Member Today!

Whether you've lived in the Rockville area all your life or have just arrived...support historic preservation and the Rockville community by joining today. It's easy to become a member. Complete this online form and click the Submit button. Or print this page, complete the form and fax or mail it to our offices. And remember, annual dues and donations are tax-deductible to the full extent allowed by law.

Peerless Rockville's FAX number and Mailing Address

Review Membership Levels and Benefits here

Peerless Rockville Online Membership Form
New Member or Renewal	Renewal New Membership
Membership Type	Individual - $35 Family - $60 Friend - $250	Sponsor - $500 Benefactor - $1,000 Patron - $2,500
Student or Senior Discount (Deduct $10)	I am a full-time student I am not a full-time student		I am 65 years or older Yes No
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Payment Method	Credit Card Bill Me
Credit Card Payments	If you would like to pay by Credit Card, we accept Visa, MasterCard, American Express and Discover. If you selected Credit Card above, we will contact you shortly to finalize your membership application.