Membership Application
Mr/Miss/Mrs/Ms
.
Name (Please Print)
.
Address
.
City, State, Zip Code+4
(
)
.
Telephone Number including
Area Code
.
Signature
Date
Annual Society Dues
$15.00
Substaining Membership
$35.00
Contributing Membership $50.00
Donor Membership
$75.00
I (we) would like to
make a donation to the Socorro County Historical Society in the amount
of
$
. These funds may be:
Used by the Society as its needs determine.
Used only for Hammel Museum restoration and promotion activities.
Others (please specify)
.
I (we) would like to support the Society by:
Volunteering to work at the Muesum (
)
telephone number
Serving as a tour guide on when the museum is open.
(Currently the first Saturday of each month)
Work parties to clean and perform maintenance at
the Museum.
Donating the following skills, equipment or materials:
.
Thank you for your
interest in the Society. Please enclose a check for the amount of
dues and mail to the
above address.