Historical Society of New Mexico 2010

P. O. Box 1912

Santa Fe, NM  87504

www.hsnm.org 

For a new or renewing membership, please complete this application and mail with payment to the above address.  Please also share with your friends the Gift of History with a discounted gift membership ($30)!  Please complete the required fields for both the receiver and yourself.

 

Name:  ______________________________________________________________________

Address:  ____________________________________________________________________

City, State, Zip:  ______________________________________________________________

Email:  ______________________________________________________________________

Phone numbers [Home, Work, and/or Cell]:  ________________________________________

I’d like to volunteer:  Conference, speaker, La Crónica, typing, other:  ___________________

 

Choose membership Level:

_____$250+ Benefactor         _____$100-249 Patron            _____$50 Organization

_____$40 Individual*             _____$50 Family/Couple*     _____$10 Student

_____$30 Teachers (K-12)    _____$30 Active Military      _____Donation $________

*Seniors (65+) or Members or Employees of HSNM’s Member Organizations, can deduct $10, see list on reverse side. -----------------------------------------------------------------------------------

·         Benefactor Level -- Select one of three books for free.  [Check one box]

 New Mexico Biographical Dictionary Volume I, by Don Bullis

 New Mexico Biographical Dictionary Volume II, by Don Bullis

 Fred Harvey Houses of the Southwest, by Richard Melzer

________________________________

_____Yes, I would like a one-year subscription to the New Mexico Historical Review for an additional $33 (savings of $7 over regular price).

_____Yes, I would like a one-year subscription to El Palacio for an additional $18 (savings of $7.00)
                                                                _____________________   

Gift Memberships:    _____$30 each (use separate sheet if more than one)

Name:  ______________________________________________________________________

Address:  ____________________________________________________________________

City, State, Zip:  ______________________________________________________________

Email:  ______________________________________________________________________

Phone numbers [Home, Work, and/or Cell]:  ________________________________________

Make Check or money order payable to HSNM

Total Amount Due $______________________ 

Member Organizations

Circle one and deduct $10 off your Membership Dues*