Return to U.S. Lighthouse Society Passport Program

Passport Form

Chesapeake Chapter of the U.S. Lighthouse Society – Passport Form

Instructions for submission:

      1. FILL OUT FORM. Fill in all required fields in form below.  Or complete only step 2 to print a blank form to give a friend.
      2. PRINT. Click the print button on the upper right corner of the page, make 2 copies, one to send with your payment and one for your records.
        NOTE: If you hit the submit button without printing first you will lose all the information entered.
      3. SUBMIT. Click the submit button, your form will be sent electronically to our Secretary. You will be sent to the payment page
      4. PAY. On the payment page you can pay via PayPal or follow the directions for mailing your check made payable to: Chesapeake Chapter

Name *
E-mail *
Address *
Passport Stamp:
Message
Word Verification:

BEFORE CLICKING SUBMIT… PRINT THIS FORM

after you have filled in the information. Click Submit to send your order. 

You can also print this form blank and give it to a friend who may not have internet access.

  1.  
Please send your $1.00 donation for each stamp plus .80 postage via check or money order, made payable to the Chesapeake Chapter, H.E.L.P. Fund and a SASE to:Chesapeake Chapter, USLHS
P.O. Box 1270
Annandale VA 22003-1270

Permanent link to this article: https://cheslights.org/our-heritage/u-s-lighthouse-society-passport-program/passport-form/

Membership

Passport Stamp Payment

Thank you for purchasing passport stamps from the Chesapeake Chapter, USLHS If you haven’t already done so… Please send your check, made payable to Chesapeake Chapter, to this address: Passport Stamps Chesapeake Chapter, USLHS P.O. Box 1270 Annandale, VA 22003-1270 Additional donations are always welcome to cover overhead expenses and support expansion of our programs.