Friends of Rancho San Pedro Membership Application

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Friends of Rancho San Pedro Membership Application
Dominguez Rancho Adobe Museum
Yes! I want to become a charter member of Friends of Rancho San Pedro- Dominguez Rancho Adobe Museum
to help support the Museum while enjoying special benefits.
Enclosed is my membership contribution of:
*Neighbor 1 year
*Student 1 year
Individual Member 1 year
Family Member 1 year
Associate Member 1 year
Sponsor Member 1 year
Contributor Member 1 year
Curator Member 1 year
Historian Member 1 year
$25
$25
$35
$55
$100
$250
$500
$1,000
$2,500
*Neighbor 2 years
*Student 1 year
Individual Member 2 years
Family Member 2 years
Associate Member 2 years
Sponsor Member 2 years
Contributor Member 2 years
Curator Member 2 years
Historian Member 2 years
$50
$25
$ 70
$ 110
$ 200
$ 500
$1,000
$2,000
$5,000
Check this box if this is a gift membership
I would like to make a donation of $____________to support the Museum and its
education programs for school children.
Payment Options:
Check enclosed payable to Friends of Rancho San Pedro, the 501 (c) 3 nonprofit
supporting Dominguez Rancho Adobe Museum (Tax ID # 33-0914438).
Please charge $____________ to my:
Visa
MasterCard
Credit Card Number____________________Expiration Date__________
_______________________________________________________________________
Authorization Signature
Print Full Name as it appears on Card
______________________________________________________
Name (Please print)
_______________________________________________________
Daytime Phone
Evening Phone
E-mail Address
_____________________________________________________
Address
City, State
Zipcode
4 Easy Ways to Join:
1.
Call 1-(310)-603-0088
2.
Fax 1- (310) 603-0009
3.
Mail this form with your payment.
4.
Visit the Museum and bring this form with you (membership hours -9-12 Tues-Thurs)
Please allow 2 weeks for delivery of membership materials. You will receive your invitation to the Members
Party under separate cover. You will also receive a postcard to pick up your free gift at the museum.
Contributions are tax deductible to the extent allowed by law.
Proceeds contribute to the programs and ongoing preservation efforts of the Dominguez Rancho Adobe
Museum.
*Neighbors must live within 3 mile radius of Museum to qualify.
*Student id required.
Please mail your membership application and enclosed contribution to:
Friends of Rancho San Pedro
Dominguez Rancho Adobe Museum
18127 S. Alameda Street
Rancho Dominguez, CA 90220
Or contact the Museum office at (310) 603-0088 for more options or additional information.
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