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Membership Application
Print, fill out and return this membership application to join the American
Branch of the Richard III Society, which includes membership in the parent
society.
 NEW! Use our
online application form -- we'll send you a welcome packet
and sample publications and bill you. (For gift memberships, please
print and fill out this page and mail together with your payment to
the address shown below.
REGULAR DUES (circle appropriate category):
- Regular membership (U.S.), $35.00
- Regular membership (non-U.S.), $40.00
- Family membership (add $5.00 to regular membership
for each additional family member over 18)
Please list names of additional family members:
_________________________________________________________
(Circle one) Mr./ Mrs./ Miss/ Ms.
_________________________________________________________
Name:
_________________________________________________________
Address:
_________________________________________________________
City, State, Zip:
_________________________________________________________
Country:
_________________________________________________________
Phone:
_________________________________________________________
E-mail address:
_________________________________________________________
___ Check here if you do NOT wish to have your name
supplied to other members or organizations.
___ Check here if this is a gift membership. In the space below, indicate
what you wish to have included in our acknowledgement.
_________________________________________________________
_________________________________________________________
Make checks
payable to RICHARD
III SOCIETY, INC., and mail to Pamela J. Butler,
11000 Anaheim Ave. NE, Albuquerque NM, 87122.
Please allow 6 to 8 weeks for
processing. Email: membership@r3.org.
Sorry, we cannot accept money orders.
The Richard III Society, Inc., is a not-for-profit
educational corporation with 501(c)(3) designation. Dues and contributions
are deductible to the extent allowed by law.
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