
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