Please access the MBSI website (www.mbsi.org) – to edit your personal records. You can also renew in the members only section.
A prompt reply will maintain your membership and continue your MBSI publications without interruption.
SPECIAL OFFER: Purchase one or more gift memberships at $15 off the New Member’s first year’s dues (New member must not have been a member during the last three years). For each gift membership you purchase, you will receive a $5 discount on your next year’s dues.
Gift Membership Name(s)________________________________________________________________________
Address, City, State, Zip Code______________________________________________________________________
Please list additional gift memberships on a separate sheet.
MBSI MEMBERSHIP DUE TAX-DEDUCTIBLE DONATION
(A membership includes up to two adults and immediate family living in one household)
|$60 United States||$________||Unrestricted General Fund||$________|
|$70 Canada or Mexico||$________||Endowment Fund (promotes the purposes of MBSI)|
|$75 Other International||$________||Ralph Heintz Publications Fund (special projects)|
|Optional Service (Additional)||Video Project (production of the MBSI DVD)|
|$20 Airmail (OUTSIDE US ONLY)||$________||Museum Fund (supports museum operations)|
#___ Gift Membership(s) X $45each
|TOTAL MEMBERSHIP FEES||$________||TOTAL DONATION||$________|
GRAND TOTAL (Total Membership Fees + Total Donations) $_____________
______Check Enclosed We accept MasterCard, VISA or Am Exp___________________________________________________
Expiration Date(mm/yy)____________ Security code (follows the card # in the signature area on the back of card ___________
Signature______________________________________ Phone # REQUIRED_________________________________________