San Juan Historical Society Membership Application
| By becoming a member of the San Juan Historical Society you will help preserve the history and rare artifacts that are part of the heritage of Pagosa Springs and the San Juans. Membership is from May 1st through April 30th. Members are entitled to a 10% discount on books and items from the gift shop and free admission. |
Name:______________________________________________________Date:________
Company:_______________________________________________________________
Address:________________________________________________________________
City:______________________________State:_________________Zip Code:________
Phone:________________________email:_____________________________________
Membership Levels:
_____ Individual $15.00 _____ Family $25.00 _____ Senior (60) $10.00
_____ Contributing $50.00 _____ Patron $125.00 _____ Benefactor $500.00
Corporation/Business:
_____ $125.00 _____ $250.00 _____$500.00 _____ $1000.00
Donor:
_____ $1500.00 _____ $2000.00 _____ Other
I would like to make an additional donation of $___________________________________
_____In memory of _______________________________________________________
_____In honor of_________________________________________________________
Mail to:
San Juan Historical Society
P. O. Box 1711
Pagosa Springs, CO 81147