2016 - 2017 PRE-COLUMBIAN SOCIETY MEMBERSHIP FORM

Membership in the Pre-Columbian Society at the University of Pennsylvania Museum is expected to be renewed annually each September.

Please provide the following information, so that we can update our files:

Date: ________________

Name: ____________________________

Address:  ___________________________________

                ___________________________________
               
                ___________________________________

E-Mail:   ___________________________________

Home Phone: _____________________ Alternate Phone: ____________________________

PLEASE INDICATE YOUR MEMBERSHIP LEVEL BELOW, AND ATTACH A CHECK FOR THE AMOUNT INDICATED. Note our Patron level, for those who wish to more actively support our goals.

PATRON $100 _________ FAMILY $50 __________

________________________ Name of family member (optional)

SINGLE $35 _________

CODEX ONLY $25 _________ For those who live out of town; members in other membership levels automatically receive The Codex.

If you have not done so already, please indicate if you wish to receive your issue of The Codex via email or on paper.

______________ I would like to receive my issues of The Codex in .pdf format via email

______________ I prefer to continue receiving my issues of The Codex on paper

Please renew at any meeting, or by mailing this renewal form, with your check, to:

The Pre-Columbian Society
Attention: Treasurer
University of Pennsylvania Museum
3260 South Street
Philadelphia, PA 19104

As a reminder, we ask that all local PCS members also become members of the University of Pennsylvania Museum; this entitles you to free entry all year.

2007-2008 PRE-COLUMBIAN SOCIETY MEMBERSHIP FORM