[LOGO] Membership Application - Send a check in a separate envelope to:
Mojave River Valley Museum Association, Inc.
270 E. Virginia Way
Barstow, CA 92311
(760) 256-5452


Circle your MRVM membership selection from below.

Membership Type Description Dues
Individual Entitles individual member to all privileges of membership including Museum newsletter, ten percent discount on publications sold by the Museum, participation in Association activities. $20.00
Annually
Family Entitles family to all privileges of membership (one vote per Annual Membership) including Museum newsletter, ten percent discount on publications sold by the Museum, participation in Association activities. $25.00
Annually
Student Entitles student to same privileges as Individual membership. Students from grammar school through college are eligible. $1.00
Annually
Contributing Entitles member to same privileges as Individual membership. $25.00
Annually
Benefactor For those who wish to give additional support to the Association. Same privileges as Individual membership. $100.00
Annually
Life Member One-time tax deductible gift for an individual, family, or business. Entitles member to same privileges as Individual membership. Contributions are tax deductible to the extent authorized by the law. $500.00
One time
Perpetual Member One-time tax deductible gift for an individual, family, or business. Entitles member to same privileges as Individual membership. Contributions are tax deductible to the extent authorized by the law. $1,000.00
One time


I am interested in participating in the following Association activities (check all that apply):

Archaeology Accessions Book sales Building & grounds
Centennial Park Displays Education Educational speakers
Exhibits Field trips, children's Field trips, general Gift shop
Grants Historical library Historical research Historical walk
Hospitality Membership Museum docent Newsletter
Oral history Photography Photo research/cataloging Programs
Publications Publicity School tours Youth Group
Name: ______________________________ Spouse: ______________________________
Address: ____________________________ Children: ______________________________
City: _______________________________ State: ___ Zip: _________
Phone: (___) ____-________ Email: ______________________________
Ham Call Sign________________________


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