Arizona Historical Society Statewide Membership Services 949 E. 2nd St., Tucson, AZ 85719-4898 (520) 617-1165 membership@azhs.gov www.ArizonaHistoricalSociety.org For a new or renewing membership, please complete this application and mail with payment to the above address. (If you wish to give a gift membership to someone, please provide us with all contact information for both the gift receiver and yourself.) Name: Mr. Mrs. Ms. Dr. _________________________________________________________________________ Address: ________________________________________________________________________________________ City, State, Zip: __________________________________________________________________________________ County: _____________________________ Email: ___________________________________________________ We sometimes send emails about Arizona Historical Society events and news. Phone Numbers {Home (H), Work (W) and/or Cell (C)}: _______________________________________________ ________________________________________________________________________________________________ Occasionally we provide our members’ addresses to other organizations that are doing a mailing we believe will be of interest to our members. If you prefer that we never provide your address in this way, check here: _________ Giving Level: Please specify the giving level at which you wish to join. _____ $1,000.00 Director’s Circle _____ $500.00 Sponsor _____ $250.00 Patron _____ $100.00 Sustaining _____ $65.00 Household _____$50.00 Individual _____$25.00 Student (send copy of student I.D.) Student members do not receive The Journal of Arizona History. (Your membership payment is tax deductible to the extent allowed by law. Consult your tax professional.) Would you also like a one-year Smithsonian Affiliate Membership for an additional $16.00? ____________ Yes Form of Payment: Check # ______________ Credit Card: Visa Amount $_______________ MasterCard (Make check payable to the Arizona Historical Society) American Express Credit Card # _____________________________________________________ Amount $_______________ Exp. Date _______________ Verification Code (Visa/MasterCard: this is the last 3 numbers on the back of the credit card) _________________________ Signature _______________________________________________________________________________________ Your membership supports your regional museum unless you designate otherwise. Phone or email us if you have questions or need additional information. 12/15w Arizona Historical Society (AHS) Membership Benefits Individual ($50.00) membership level benefits: Unlimited individual admission for one year to all Arizona Historical Society museums in Tempe, Tucson, Yuma, and Flagstaff (including Riordan Mansion) Subscription to The Journal of Arizona History, our award-winning quarterly publication 10% discount on Arizona Historical Society lectures, classes, and publications Free admission to exhibit openings 10% discount on Arizona Historical Society museum gift shop purchases Benefits at select museums across the USA through the Time Travelers program Invitation to the Arizona Historical Society Annual Meeting Household ($65.00) membership level benefits: All Individual membership level benefits Free admission for one year to all Arizona Historical Society museums for a second adult household member and all household children 18 years of age and younger 10% discount on AHS lectures, classes, publications, and museum gift shop purchases for a second adult household member and all household children 18 years of age and younger Sustaining ($100.00) membership level benefits: All Household membership level benefits Two single-use Arizona Historical Society museum guest passes Patron ($250.00) membership level benefits: All Household membership level benefits Invitation to a special museum exhibits tour Four single-use Arizona Historical Society museum guest passes Sponsor ($500.00) membership level benefits: All Household membership level benefits Invitation to a special program 10% discount on facility rentals Six single-use Arizona Historical Society museum guest passes Recognition in The Journal of Arizona History Director’s Circle ($1,000.00) membership level benefits: All Household membership level benefits Invitation to a special program Invitation to a special museum exhibits tour 10% discount on facility rentals Eight single-use Arizona Historical Society museum guest passes Recognition in The Journal of Arizona History Student ($25.00) membership level benefits: Unlimited individual admission for one year to all Arizona Historical Society museums Free admission to exhibit openings Benefits at select museums across the USA through the Time Travelers program Smithsonian Affiliate Membership ($16.00) For an additional $16.00 at any Arizona Historical Society membership level, receive a one-year Affiliate membership to the Smithsonian Institution (a $27.00 value). Benefits include: A one year subscription (11 issues) of Smithsonian Magazine 10% discount on all Smithsonian Folkways Recordings and all IMAX tickets at the Smithsonian Online benefits from the Smithsonian with insider access to the Smithsonian and special opportunities Free admission to the Smithsonian’s Cooper-Hewitt, National Design Museum in New York City 12/15w