members

South Carolina State Museum




Membership Application

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
Name of Recipient: 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 e-mail membership@museum.state.sc.us.

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