Please print out and complete this form to join, renew or purchase a gift of membership. Holiday Special - save $5 on new or renewing gift memberships now through December 31, 2009.
Mail to:      Membership Office, Minnesota Historical Society, 345 Kellogg Blvd. W., St. Paul MN 55102-1906
Fax to: 651-297-7804 (credit card only)
Your gift may qualify for a matching gift from your employer.  Please contact your company for more information
 
Name(s): _____________________________________________________
Address: _____________________________________________________
City/State/Zip: _____________________________________________________
Daytime phone: ____________________ E-mail address: ____________________
This membership is: new renewing gift membership

Please select a membership category:

$45 Individual Senior (age 65+)
$50 Individual (benefits for 1 adult)
$65 Individual Plus (benefits for 1 adult PLUS 1 guest admission pass per visit)
$65 Household Senior (age 65+; benefits for 2 adults and children or grandchildren under age 18)
$75 Household (benefits for 2 adults and children or grandchildren under age 18)
$95 Household Plus (Household benefits PLUS 2 guest admission passes per visit) $145 Associate (all Household Plus benefits)
$250 Contributing (all Household Plus benefits)
$500 Sustaining (all Household Plus benefits)
$1000 North Star CircleNorth Star Circle logo
$45 Individual Gift Membership
$60 Individual Plus Gift Membership
$70 Household Gift Membership
$90 Household Plus Gift Membership

Payment
Enclosed is my check for $______ payable to the Minnesota Historical Society (mail only).
Please charge this gift to:
Visa    MasterCard   Discover   American Express

Card Number __________________ Expiration Date________________

Signature __________________________

 
Please send information about volunteer opportunities
Please withhold my/our name from mailing list exchanges
Please limit emails to information about my/our membership
___ Number in household
 
Benefits extend one year from enrollment date. Allow 2-4 weeks for processing. Membership includes a Minnesota History subscription valued at $20. Your payment less $20 is the tax-deductible portion of membership fees. Membership dues may qualify for a matching gift from your employer. Please contact your company for more information. Questions? Call 651-259-3131 or 1-888-293-4440, or email membership@mnhs.org.
 
To give a gift of membership, please also complete the information below:
 
Gift recipient's name(s) ______________________________________________
Gift recipient's address _____________________________________________
Gift recipient's city/state/zip _________________________________________
Gift recipient's daytime phone: _________________________________________
Gift recipient's e-mail address _________________________________________

After Dec. 18, 2009, holiday gift memberships may be purchased on site at the History Center, Mill City Museum and our historic sites.

First renewal notice will be sent to the gift giver. Unless otherwise specified, gift membership will be mailed to gift recipient.
 
Thank you for your support of the Minnesota Historical Society.