MEMBERSHIP RENEWAL FORM

The Historical Society of the Upper Mojave Desert
P. O. Box 2001,
Ridgecrest, CA 93556

Phone: 760-375-8456 Website: www.maturango.org/hist.html

Annual Dues are for the calendar year (January-December)

___ Individual/Family (same address) $20 ___ Business/Commercial $30

Additional Contributions
___ Contributor $50 ___ Patron $200
___ Benefactor $100 ___ Other $ ____

Please make your check payable to the HSUMD and send it and this form to the address above. All contributions are tax deductible We are a 501(c)3 organization.

I am interested in supporting the HSUMD by helping in the following areas:
___ Oral history (interviewing/transcribing) ___ Education ___ Fund-raising(local/grant writing)
___ Newsletter ___ Publicity ___ Creating/arranging exhibits
___ Photography/Videotaping ___ Writing ___ Field trips (planning/guiding) ___ Archival research ___ Preservation ___ Collection management
___ USO Building restoration

____other______________________________________________________________________________

Name_________________________________________________________

Mailing Address _______________________________________________________

Phone ____________________________ e-mail ___________________________________