members

 

Please print out the following membership application, fill in and mail with your check or credit card payment today to:

South Carolina Museum Foundation • PO Box 11442 • Columbia SC • 29211-1442

Check (or circle) your prefered category:

$35 Individual
$45 Dual •
$60 Family
$60 Grandparent
$100 Premier - Best Value!
$150 Charter Collector
$250 Director’s Guild
$500 Foundation Fellows
$1,000 Trustee’s Council


Please send my gift to: (please check or cirlcle one)

Name: Mr. ••••• Mrs. ••••• Ms. ••••• Dr. ••••• other

__________________________________________________________

Phone # ___________________________________________________

Email _____________________________________________________

Address ___________________________________________________

City ________________________________ State__________________

Zip______________________ County __________________________

Second name on membership (Dual members and higher categories):
Mr. ••••• Mrs. ••••• Ms. ••••• Dr. ••••• other

________________________________________________________________

Please check or circle one: Send membership packet: ••••• to me •••••to recipient.

Send renewal: •••••to me •••••to recipient.


Membership Purchased By:

Your Name: Mr. ••••• Mrs. ••••• Ms. ••••• Dr. ••••• other

__________________________________________________________

Phone # ___________________________________________________

Email _____________________________________________________

Address ___________________________________________________

City ________________________________ State__________________

Zip______________________ County __________________________

Second name on membership (Dual members and higher categories):
Mr. ••••• Mrs. ••••• Ms. ••••• Dr. ••••• other

________________________________________________________________

Method of Payment

Check in the amount of $________ made payable to the South Carolina Museum Foundation
Charge $___________ to: ••••• Visa ••••• Mastercard (please check or circle one)

__________________________________________________________________
Account Number/ Expiration Date

__________________________________________________________________
Name on card / Signature

Thank you for your generous support.

Please allow two to three weeks for processing.
For more information, please call (803) 898-4937 or membership@museum.state.sc.us