Issue link: http://www.e-digitaleditions.com/i/230370
READER RESPONSES Complete the approriate sections of this page to enroll as a Society member, renew your membership, give a gift membership, or order items from The Dome Marketplace. If you are giving a gift membership, please provide the person's name and address below. Y O U R I N F O R M AT I O N Name(s)______________________________ Email: _________________________ Street Address: ________________________________________________________ City: _________________________ State: ___________ Zip Code: _____________ CHECK ALL THAT APPY: New Membership Event Registration CAPITOL ALUMNI MEMBERS $50-$74 Charter Membership Gift Membership Volunteering _____________________ _____________________ $75-$99 Freedom Society $100-$249 Cornerstone Society $250-$499 Rotunda Society Tell us your connection with the Capitol. EVENT REGISTRATION: LEVEL OF MEMBERSHIP GIFT MEMBERSHIP: _____________________ _____________________ _____________________ Membership Renewal Marketplace Order $500-$999 Architect of History $1,000-$4,999 Capitol Circle Please record me as a Capitol Alumni Member DOME MARKETPLACE Quantity Unit Price Extended Price Item Number List the events that you wish to attend. Include your name (s) and contact information. YES, I/WE WILL ATTEND: _____________________ _____________________ You may fax this form to: (202) 544-8244 or mail it to: USCHS, 200 Maryland Ave., NE Washington, DC 20002-5796 QUESTIONS? Toll-free (800) 887-9318 x10 Local calls: (202) 543-8919 x10 Complete form and fax to (202) 544-8244, or call toll free: 1-800-887-9318, ext. 10 SHIPPING AND HANDLING SUB-TOTAL: _______________________ $20.00 (OR LESS) $7.95 $50.01 to $75.00 $18.95 $20.01 to $30.00 $8.95 $75.01 to $100.00 $24.95 TAX (6% DC & MD): ________________ $30.01 to $40.00 $12.95 More than $100.00 $34.95 SHIPPING: _________________________ $40.01 to $50.00 $14.95 MEMBERSHIP: _____________________ Please add $25.00 shipping for each framed print ordered. For packages over 25 lb., add $10.00 per additional 10 lbs. TOTAL: ____________________________ M E T H O D O F PA Y M E N T Enclosed is a Check or Money Order payable to: U. S. Capitol Historical Society I am paying by Credit Card (please circle one): VISA MC AMEX DISCOVER CARD # ________________________ EXP. DATE: ______________ CODE: ____________ Cardholder Signature (required): __________________________________________________________ 10 THE CAPITOL DOME USCHS Board of Trustees Gary Abrecht Hon. Richard Baker, Ph.D. Ken Bowling, Ph.D. Hon. Richard Burr Donald G. Carlson Hon. E. Thomas Coleman L. Neale Cosby Scott Cosby Nancy Dorn George C. "Bud" Garikes David Geanacopoulos Leslie Hayes Bruce Heiman Hon. Richard Holwill Mark Hopkins R. Bruce Josten Tim Keating Hon. Dirk Kempthorne Jennifer LaTourette Rob Lively Tamera Luzzatto Tim Lynch Norm Ornstein, Ph.D. Beverly L. Perry Hon. David E. Price Da vid Regan Cokie Roberts Hon. Ron Sarasin Mark Shields Dontai Smalls Tina Tate Hon. Ellen O'Kane Tauscher James A. Thurber, Ph.D. Hon. Pat Tiberi Hon. John C. Tuck Hon. Tom Udall Deborah A. White Candida P. Wolff J. Dennis Molloy (counsel) The Capitol Dome is a quarterly publication of the U.S. Capitol Historical Society, 200 Maryland Ave., NE, Washington, DC 20002 P: (202) 543-8919 F: (202) 544-8244 Toll Free: (800) 887-9318 Email: uschs@uschs.org Web: www.uschs.org Chief Historian: Donald R. Kennon Editor: Lauren Borchard Designer: Diana E. Wailes All uncredited photos are courtesy of the U. S. Capitol Historical Society. For more information on membership categories and benefits, visit: www.uschs.org. For additional product choices, visit: www.uschscatalog.org or www.constitutionstore.org. FALL 2013