Gift Membership Form

Fill out the following form electronically, or download the printable Membership Form PDF and follow mailing instructions in the document…

Membership Materials
Would you like the gift membership materials sent to you?*
- Yes
- No
The membership materials will be sent to the gift recipient unless otherwise inidicated
Membership Level
Membership Level*
- Family & Grandfamily - $75
- Couple - $60
- Individual - $40
- Senior - $35
Gift Recipient's Information
Recipient's Name*
First Last
Recipient's Address*
Street Address Address Line 2 City State ZIP Code
Recipient's Phone*
Recipient's Email*
Primary Member Information
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Payment Information
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Additional Information
Comments
Tax Deductible Contribution
I would like to make an additional tax deductible contribution to help support The Hershey Story.*
- Yes
- No
Amount
If your employer has a matching gift program, please send us the form and we’ll be happy to do the rest to make your contribution grow!
The official registration and financial information for The M.S Hershey Foundation may be obtained from the Pennsylvania Department of State by calling toll-free, within Pennsylvania, 1.800.732.0999. Registration does not imply endorsement.

The Hershey Story – The Museum on Chocolate Avenue is an operating division of
The M.S. Hershey Foundation. A 501(c)(3) not-for-profit organization.

Visit the Hershey Story Museum in Hershey, PA