Membership in the Ames Historical Society
Membership Benefits
· Satisfaction of supporting preservation of Ames history, presentation of exhibits and programs, and publications and website
· Quarterly Newsletter
· Discount on books at a local bookstore
(10% off collector’s reference books at Antique Ames, 202 Main, Ames)

Membership Application Form (pdf)
for perfect printing

Name ____________________________________

 Address ___________________________________

 City, State, Zip _____________________________

 Phone _____________________________

 Email _____________________________
              (for Society use only)
Membership Level (circle one)
Introductory
Individual
Family
Friend		 $10
$25
$40
$50		 Sustaining
Benefactor
Patron		 $100
$500
$1,000
Membership year runs 12 months from date of payment
Dues ________
Donation ________
    Building Procurement Fund ________
    Program & Operations Endowment ________
    Other projects ________
Total . . . . . . . . . . . . . . . . . . . . . .  ________
Mail this form with payment to: Ames Historical Society,
ATTN: Membership, P.O. Box 821, Ames, IA 50010