Issue link: http://www.e-digitaleditions.com/i/682431
USCHS Board of Trustees e 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: 1-800-887-9318 Email: uschs@uschs.org Web: www.uschs.org Chief Historian: William C. diGiacomantonio 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. Complete the appropriate sections of this page to enroll as a Society member, renew your membership, give a gift membership, or order items from e Dome Marketplace. If you are giving a gift membership, please provide the person's name and address below. GIFT MEMBERSHIP: _____________________ _____________________ _____________________ CAPITOL ALUMNI MEMBERS Tell us your connection with the Capitol. _____________________ _____________________ EVENT REGISTRATION: 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 Item Number Quantity Unit Price Extended Price Complete form and fax to (202) 544-8244, or call toll free: 1-800-887-9318, ext. 10 SHIPPING AND HANDLING $20.00 (OR LESS) $7.95 $50.01 to $75.00 $18.95 $20.01 to $30.00 $9.95 $75.01 to $100.00 $24.95 $30.01 to $40.00 $12.95 More than $100.00 $34.95 $40.01 to $50.00 $14.95 Please add $25.00 shipping for each framed print ordered. For packages over 25 lbs., add $10.00 per additional 10 lbs. SUB-TOTAL: _______________________ TAX (6% DC & MD): ________________ SHIPPING: _________________________ MEMBERSHIP: _____________________ TOTAL: ____________________________ 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): _________________________________________________________ READER RESPONSES Y O U R I N F O R M A T I O N Name(s)______________________________ Email: _________________________ Street Address: _______________________________Phone:___________________ City: _________________________ State: ___________ Zip Code: _____________ CHECK ALL THAT APPLY: New Membership Membership Renewal Gift Membership Event Registration Marketplace Order Volunteering L E V E L O F M E M B E R S H I P $50-$74 $75-$99 $100-$249 Charter Membership Freedom Society Cornerstone Society $250-$499 $500-$999 $1,000-$4,999 Rotunda Society Architect of History Capitol Circle Please record me as a Capitol Alumni Member D O M E M A R K E T P L A C E M E T H O D O F P A Y M E N T Mitch Bainwol Hon. Kenneth E. Bentsen, Jr. Hon. Roy Blunt Jean P. Bordewich Nicholas E. Calio Sean Callinicos Donald G. Carlson Hon. E. omas Coleman L. Neale Cosby Jeanne deCervens Joseph W. Dooley Andrew Durant Hon. Virginia Foxx Mary Moore Hamrick Hon. John B. Larson Jennifer LaTourette Brett Loper Lorraine Miller Craig Purser David W. Regan Cokie Roberts Hon. Ron Sarasin Anna Schneider Jan Schoonmaker Matthew Shay Mark Shields Dontai Smalls William G. Sutton, CAE Hon. Ellen O'Kane Tauscher Connie Tipton Hon. John C. Tuck Mark Valente III Tim White Mike Zarrelli J. Dennis Molloy (counsel)