The HENRY FORD HERITAGE ASSOCIATION is a non-profit 501 (3) (c) organization.
Donations to the HFHA are tax deductible

The HENRY FORD HERITAGE ASSOCIATION  is not associated 
with the Ford Motor Company

HFHA MEMBERSHIP APPLICATION
Please fill out the form below, press submit and print the resulting page . Send the form with check or money order payable to : 


  
 P.O.Box 2313
Dearborn, MI 48123

last name first name
address
city state                              zip/postal code
country
For family membership levels or above, please fill in the following:
e-mail
 spouse
phone number
 additional family members
Membership Category:
"Model T " - Single: $     15.00 yr.
"Model A" - Family:  $     25.00 yr.
"Truck" - Business: $     35.00 yr.
"V8" -  Sustaining: $     30.00 yr.
"Lincoln" - Contributing: $     75.00 yr.
"Henry Ford"  - Lifetime: $1,000.00
For membership outside the U.S.A. please include an additional $10.00 for postal fees.
TOTAL ENCLOSED:
Form does NOT calculate $

    Please press submit and print the resulting page .