The Treasury Historical Association The Treasury Historical Association
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Membership Form

We invite you to join the Treasury Historical Association. Membership fees help support the conservation and preservation of the Treasury Building, and the collection of 19th and 20th century artifacts.

THA is a 501(c)(3) non-profit organization, and membership fees are contributions that are tax deductible to the extent permitted by law. To join,
PLEASE PRINT THIS PAGE, fill out the blanks and mail it with your check to:

Treasury Historical Association - Membership
P.O. Box 28118
Washington, DC 20038-8118


_______New Member _______Renewing Member

Name:__________________________________________

Address:_________________________________________

City:________________State:________Zip:____________

Telephone Number:_______________________________

Email address:____________________________________


__General
__Patron
$20 per year, or $50 for 3 years
$120 per year
__Supporting
__Life Donor
$60 per year
$1,500 or more one time (payment arrangements for 3 equal installments in a calendar year are available)


Amount of contribution enclosed:__________________



For memberships above the General level,
select appreciation gift.


_____ Black leather mousepad, with THA logo in
gold silkscreen print
-or-
_____ Black leather business card case with
THA logo embossed
-or-
___Selection of THA Commemorative Ornament
(1990-1992; 1994-1999), your choice: 199__ .


I do not wish to join the Treasury Historical Association at this time but I am enclosing a tax deductible contribution to support The Treasury Historical Association programs and events in the amount of $__________.