Name (individual): |
________________________________________________________ |
or both names (family): |
________________________________________________________ |
Address: |
________________________________________________________ |
________________________________________________________ |
|
City, State, Zip: |
________________________________________________________ |
Email address: |
________________________________________________________ |
Send newsletter by email??? |
(
)Yes ( )No If you answer "no," your copy will be sent by
mail once it has been printed - may take extra week |
( ) |
Individual | $25 | ( ) |
Contributing | $40 | |
( ) |
Family | $30 | ( ) |
Benefactor | $150 | |
( ) |
Student | $10 | ( ) |
Life | $300 | |
( ) |
Southern New Mexico Historical Review Sponsorship $50 |
Check enclosed for: |
||||
How would you like to receive your copy of the annual Review? |
$___________ |
|||||
( )Print version ( )Will download from the DACHS website |