Custom Membership Card Form

Please use the following form to request a History Center membership card using your own HISTORIC IMAGE. Before submitting your image, please check that it fits all the requirements listed below.

Your own historic image requirements:

  • Format: Landscape only.
  • Image ratio is 2:1. (Please note: Some images will be cropped accordingly to fit within this dimension.)
  • File Size: No less than 500kb.
  • File Type: We can accept JPG, PNG, GIF, TIF, and PDF.
  • Color or Black and White: We accept both.
  • Copyright: You must own the copyright to your image personally.
  • Clarity: Your image must be clear.
  • The History Center reserves the right to not use your image if we feel it is not appropriate.

First & last name:

Email address:

Submit your image: