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NORTHEASTERN NEVADA HISTORICAL SOCIETY & MUSEUM
MEMBERSHIP APPLICATION

  • Levels of Membership:
    Individual................................................ $20.00
    Family (Immediate)........................................ $35.00
    Patron.................................................... $50.00
    Business.................................................. $50.00
    Pioneer Descendent Life................................... $750.00
    Contributing.............................................. $40.00
    Sustaining................................................ $100.00
    Life.....................................................$1,000.00

    For membership please provide the following information:
    • NAME

    • MAILING ADDRESS

    • CITY; STATE; ZIP


      *PLEASE CHECK MARK THE LEVEL OF MEMBERSHIP*
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      If this is a gift:
      • NAME

      • MAILING ADDRESS

      • CITY; STATE; ZIP



      • AMOUNT ENCLOSED




    • PLEASE MARK YOUR INFORMATION AS A "GIFT".

      MAIL TO:
      Northeastern Nevada
      Historical Society and Museum
      1515 Idaho St.
      Elko, NV 89801
      Telephone: