State Historical Society of North Dakota Foundation

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Last Name^*

Spouse's Name (if applicable)

Address^*

City^*

State^*

Zip^*

Country^*

USA

Canada

Other

Phone^*

Email^*

Member Level^*

Benefactor ($10,000)

Director ($5,000)

Founder ($1,000)

Investor/Trustee ($500)

Patron ($250)

Sustaining ($100)

Family ($50*)

Individual ($40*)

*Canadian membership is $47 individual; $57 family, which includes an annual $7 shipping and handling fee. All other foreign memberships are $55 individual; $65 family, including an annual $15 shipping and handling fee. All figures are US$.

State Historical Society of North Dakota Foundation: Gift Membership Puchase

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