Membership and Renewal Application Level of Annual Membership: *   General Individual            $ 20    General Family                  $ 25    Pathfinder  Level               $100-$249    Wagonmaster Level         $250-$499    Pioneer Level                     $500 or more  NAME * MAILING ADDRESS * BILLING ADDRESS * TELEPHONE * E-MAIL  * AMOUNT * Membership payment charged to my: *   VISA    MASTERCARD  Card No. * Expiration Date * Cardholder Name * The IRS has designated this Society and Museum as a 501(c)(3) organization and donations are tax deductible to donor.  Please consult your tax advisor for specific information. * = Input is required