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MEMBERSHIP
PAYMENT FORM

 

 

NAME _____________________________________________

 

ADDRESS __________________________________________

 

CITY _________________________ STATE ____  ZIP ______

 

Yearly membership dues should be submitted by May 1st

Membership dues should not be sent with applications. Memberships
are presented for approval at the annual meeting each May and new members
will be notified of acceptance and dues options at that time.

 

Check your mailing label ....

 If there is an "A" next to your name

     

    Remit $24.00 for one year ______

 

 If there is an "A*" next to your name you are one year behind

 

    Remit $48.00 for two years ______

If there is not an  "A" next to your name, you are already a lifetime member - no additional dues payments are required.

 

To purchase a lifetime membership

    

    Remit $240.00 (over 18)   ______

    

    Remit $120.00  (under 18) _______

    Must be renewed at age 18

   

   

If you have any questions about your membership status, write or call (651) 379-1849

 

 

Mail this form and your check to:

MINNESOTA TERRITORIAL PIONEERS

176 SNELLING AVENUE NORTH, SUITE 328
SAINT PAUL, MINNESOTA 55104-6338