Please print out this page and send it to:  American Indian Genocide Museum
                                                                             P.O Box # 230452
                                                                            Houston, Texas 77223
                                                                          
                                                                           

          
American Indian Genocide Museum
Membership Form


Sponsor Membership                                  Donor Membership
$200 - $500                                                    $100
Special invitations to all events                       Special invitations to all events
Calendar                                                         Calendar
Honorable Mention                                          Honorable Mention
Cup & T-Shirt

Family Membership                                     Individual Membership
$50                                                                $25
Special invitations to all events                      Special invitations to all events
Calendar                                                        Calendar

Student Membership
$10
Special invitations to all events        


Full Name:
_____________________________________________________________
Address:
:
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_______________________________________________________________


Day Phone: ______________________  Evening Phone: ________________________

Email:
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Membership Level Desired: _______________________________________________

Payment Mode (Circle):   Money Order        /              Check                


Please make checks payable to:
American Indian Genocide Museum