Chesapeake Chapter of the U.S. Lighthouse Society – Passport Form
Instructions for submission:
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- 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.
- 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. - SUBMIT. Click the submit button, your form will be sent electronically to our Secretary. You will be sent to the payment page
- PAY. On the payment page you can pay via PayPal or follow the directions for mailing your check made payable to: Chesapeake Chapter
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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.
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 |