IDAHO MILITARY HISTORICAL SOCIETY
4040 W. Guard Street,
Boise, Idaho 83705-5004

Donation/Membership Application/Renewal Form

YES! I support the Idaho Military Historical Society and would like to receive Pass In Review, its quarterly newsletter.  Please enter my tax deductible membership application/renewal in the category checked below.  I have enclosed a check or money order in the amount indicated and I am pleased to accept my canceled check as my receipt.  (The IMHS is a 501(c)3 Organization.)


INDIVIDUAL:

$25

[   ] General

$ 375

[   ] Lifetime

$10

[  ] Associate (Members Spouse)

$ 15

[  ] Senior (60+)

$ 10

[   ] Student


ORGANIZATIONAL:

$500

[   ] Platinum

$100

[   ] Silver

$ 250

[   ] Gold

$ 50

] Bronze


OTHER
:   [  ] Endowment   [  ] Donation   [  ] Memorial    [  ] ________________

 

                   

 

For:                                                                                                                    

If making a donation in memory of an individual, please give us their name and family's address so we can inform the family of your gift.  

If you wish your gift to remain anonymous, please check here [   ].

I wish to make a donation in memory of: 
(Name of Individual & address of  family) 

                                                  

                                                 

                                                 

  

TOTAL AMOUNT ENCLOSED:

 

 

$                                        

                                       


Name:                                                                                 


Phone:
______________________


Address:
(City, State, Zip)  
__________________________________________________________

E-Mail:  ___________________________________________________________________


Interests:

My interests are:  (Check all that apply)

r Display Construction      r Carpentry                       r Data Entry                    r Educational Outreach

r Research                        r Fundraising                    r Public Relations           r Library & Archives

r Other:  _________________________________________________________________________


                                                                                                                     
(The IMHS does not make membership information, addresses or e-mail addresses available to other organizations.)

http://museum.mil.idaho.gov/