Issue link: https://www.e-digitaleditions.com/i/58441
YOUR INFORMATION Name(s): Street Address: City: E-mail: u $35-$49 LEVEL OF MEMBERSHIP u $50-$99 Charter Member u $250-$499 Rotunda Society State: CHECK ALL THAT APPLY: ❑ New Membership u Membership Renewal u Gift Membership u Event Registration u Marketplace Order u Volunteering DOME MARKETPLACE Complete form and fax to (202) 544-8244. Item Number Or Call toll-free at (800) 887-9318. Quantity Unit Price Extended Price Zip Code: u $2,500-$4,999 Benefactor Freedom Society u $500-$999 Architects of History u $5,000-$9,999 Capitol Steward u Please record me as a Capitol Alumni Member* READER RESPONSES Complete the appropriate sections of this page to enroll as a Society member, renew your membership, give a gift membership, or order items from The Dome Market Place. If you are giving a gift membership, please provide the person's name and address below. GIFT MEMBERSHIP: *CAPITOL ALUMNI MEMBERSHIP: $2000 $2000 or less SHIPPING AND HANDLING $5000 to $3000 to $5000 $6.95 $8.95 $12.95 $7500 to $7500 to $10000 $16.95 $19.95 $3000 to $4000 $10.95 MORE THAN $100.00 $24.95 $4000 PLEASE ADD $2500 SHIPPING FOR EACH FRAMED PRINT. METHOD OF PAYMENT u Enclosed is a Check or Money Order payable to: U.S.Capitol Historical Society u I am paying by Credit Card (please circle one): VISA MC AMEX CARD # Cardholder Signature (required): 21 THE CAPITOL DOME Expiration Date: You may fax this form to (202) 544-8244 or mail it to: USCHS, 200 Maryland Ave., NE Washington, DC 20002-5796 Questions? Call toll-free (800) 887-9318. For local calls, (202) 543-8919, ext. 10. SUB-TOTAL: SHIPPING: MEMBERSHIP: TOTAL DUE: EVENT REGISTRATION: List the events that you wish to attend. Include your name(s) and a phone number at which we may contact you. YES, I/WE WILL ATTEND: The Society recognizes the service of individuals, family members and descendants of those who have served in the U. S. Congress. Our Capitol Alumni members represent the living history that USCHS is charged to preserve. To become a Capitol Alumni Member, please tell us your connection with the Capitol. u $100-$249 Cornerstone Society u $1,000-$2,499 Capitol Circle u $10,000-$24,999 William Thornton Society