Gift Membership Application
Friends of the South Carolina Archives and History Foundation
MEMBER INFORMATION:
q
Mr. q Ms. q Mrs. q Dr. qOther_________________Name: ___________________________________________________________
Name for additional card (family level and higher): ___________________________
Address: __________________________________________________________
City, State, Zip: _____________________________________________________
Phone: _________________________ Email: __________________________
GIVER INFORMATION
Name: _____________________________________________________________
Address: ____________________________________________________________
City, State, Zip: _______________________________________________________
Phone: _________________________ Email: __________________________
q
Send renewal to me q RecipientPAYMENT INFORMATION
Enclosed is my company’s matching gift form.
Company name: ____________________________________________________
CATEGORY (please choose one)
|
q |
$35 Individual Plus One |
|
q |
$60 Family |
|
q |
$100 Advocate |
|
q |
$250 Guardian |
|
q |
$500 Ambassador |
Enclosed is my check for $_____ made payable to the SC Archives & History Foundation
Please charge $ ______ to my q Mastercard q Visa q American Express
Name on Card: _________________________________
Account Number: _______________________________
Expiration Date: ________________________________
Signature: _____________________________________
To send a gift, please print out this form and fill in the required information. Applications can be mailed to:
SC Archives & History Foundation
PO Box 1763
Columbia, SC 29202
Or fax this form to: (803) 252-0589
Gift membership packets are sent to the giver. Please allow 2-3 weeks for delivery.
Please allow 2-3 weeks delivery for your membership packet. For more information please call the membership office at (803) 251-0115 or Fax: 252-0589
Thank you for your generous support!