Official Nebraska Government Website Nebraska State Historical Society

NSHS Mail-in Membership Form


 MEMBERSHIP

____ New Membership  

____ Renewal

____ Gift Membership

 VALUE

____ Individual: $40 per year, save $10 on a 2-year membership, $70.

____ Household: $55 per year (2 adults and children under 18) save $10 on a 2-year membership, $100.

____ Contributing: $100 per year

____ Supporting: $250 per year

____ Sustaining: $500 per year

____ Founder: $1000 per year

Name _______________________________________________________

Address ______________________________________________________

City _________________________________ State _________________ Country _________

Postal Code (Zip) ______________________

Telephone (day) __________________________ (evening) ____________________________

Email _______________________________________________

____ In addition to my membership indicated above, I am also enclosing a tax deductible
donation of $_____________

SEND A GIFT MEMBERSHIP TO:

Name _______________________________________________________

Address ______________________________________________________

City _________________________________ State _________________ Country _________

Postal Code (Zip) ______________________

Email _______________________________________________

Join now. You can include payment by check or money order, or use the credit card form below.
Please print out the mail-in enrollment form, fill it in, and send it via regular mail.

Form of payment:

____ Payment Enclosed

____ Mastercard     ____Visa    

Expiration Date ____________________________

Card # ___________________________________

Signature _________________________________

 Do you want to know more about membership or services offered by the Society?
Call 402-471-3272
Call toll-free 1-800-833-6747
FAX 402-471-3100
Nebraska State Historical Society
Attn: Membership Coordinator
1500 R Street
PO Box 82554
Lincoln, NE 68501-2554

Trouble printing? Download a Membership Application Form in PDF format.

 


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http://www.nebraskahistory.org/admin/members/mailform.htm
Last updated 28 June 2009

For questions or comments on the website itself, email nshs.web@nebraska.gov
Nebraska State Historical Society - P.O. Box 82554, 1500 R Street, Lincoln, NE 68501
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