Click Here to give the gift of membership to a friend or loved one. (Online application). To give the gift of membership offline, print out this form and mail to the address below.

Gift Membership
Give the gift of history to a friend or a loved one! Whether it is for a birthday, an anniversary, a holiday or a special occasion, a membership in the Missouri Historical Society is a unique gift that will be enjoyed in many different ways throughout the year. It truly is a gift that keeps on giving!

Gift For:

___ Mr. & Mrs. ___ Miss ___ Ms. ___ Mr. ___ Mrs. ___ Dr. ___ Other_________
Name ______________________________________________________
(as it will appear in our records)

Address ____________________________________________________

City _______________________________________________________

State ______________________ Zip code __________________

Phone ___________________________________
____ Senior (65 and above) $55
____ Regular $60
____ Family Plus $85
____ Contributing $150
____ Sustaining $250
____ Sponsoring $500
____ Thomas Jefferson Society Patron $1,000
____ Thomas Jefferson Society Silver $2,500
____ Thomas Jefferson Society Gold $5,000
____ Thomas Jefferson Society Platinum $10,000
____ Thomas Jefferson Society Diamond $15,000
____ Thomas Jefferson Society Presidents Circle $25,000
Gift From:

Name ______________________________________________________
(as it will appear in our records)

Address ____________________________________________________

City _______________________________________________________

State ______________________ Zip code __________________

Phone ___________________________________

___ Enclosed is my check payable to MHS: ___________________

Or please charge ___ to my:

_____ American Express _____ Discover _____ MasterCard _____ VISA

Credit Card # __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

Expiration Date ____ / _____

___Please send membership materials directly to the membership recipient.

___Please send membership materials directly to me; I will present them to the recipient.

Print out this form and please mail to:
Missouri Historical Society
P.O. Box 11940
St. Louis, MO 63112-0041
Or call the Membership Office at (314) 454-3101.
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