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.