Monroe County Historical Society Membership Form

Monroe County History Center

Membership Levels

 / Student / $10 / One year membership, free admission, bi-monthly newsletter, 10% discount in Museum Store.
 / Teacher / $20 / One year membership, free admission, bi-monthly newsletter, 10% discount in Museum Store.
 / Individual / $35 / Benefits listed above plus 50% off copies in Research Library.
 / Household / $50 / Benefits listed above.
 / Contributor / $100 / Benefits listed above plus reciprocal benefits to NARM (North American Reciprocal Museums) over 800 museums & historical sites for free or with discounted rates including the Indiana State Museum.
 / Supporter / $250 / Benefits listed above plus 50% off photocopies in Research Library, behind-the-scenes tour for up to 6 people at the Museum.
 / Patron / $500 / Benefits listed above plus 2 free tickets for all ticketed events (excluding the Gala/ball).
 / Sponsor / $1,000 / Benefits listed above 2 free tickets to the Gala/ball, a one-time listing in the newsletter and a behind-the-scenes tour of the Museum for up to 10.
 / Underwriter / $2,000 / Benefits listed above plus 4 tickets to the Gala/ball, thank you on electronic lobby board for 6 months.
 / Benefactor / $5,000 / Benefits listed above plus a table of 8 for the Gala/ball, a thank you on electronic board in lobby for 1 year and a name sponsor of an exhibit or education program of your choice.

Contact Information

Name ______Level of Membership ______

Address______City______State ______Zip ______

Phone # ______E-mail ______

Method of Payment

Check enclosedMasterCardVisaDiscover

Credit Card # ______Expiration Date ______

Signature ______

Please drop off or mail membership form. Or you can call with your charge card information.

Monroe County History Center

202 E. 6th Street, Bloomington, Indiana 47408

812-332-2517Ext. 7