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National Museum of Racing and Hall of Fame Membership Form

Instructions: Print this page out on your computer; then completely fill out the form, and send it to the Membership Chairman at the address listed below.  Be sure to include proper payment with your registration when applying for an NMR membership.

(_) Individual $50                            (_) Associate $500

(_) Family $75                                  (_) Patron $1000

(_) Contributor $100                       (_) Benefactor $1500

(_) Donor $250                                 (_) Gold Cup $2500

 I have enclosed $________ for annual dues in the category checked above

(_)Mr.      (_)Mrs.      (_)Ms.

________________________________________(name)

________________________________________ (street)

_____________________ (city)   _________ (state) _____________(zip)

________________________(telephone)

(_) New Membership       (_) Renewal

I would prefer to charge my membership on:
(_)MasterCard (_)Visa (_)Amex

_______________________________________ (card number)

_____________________ (expiration date)

_________________________________________
(Card holder?s signature)

(_) Yes! Please send me more information on the National Museum of Racing and Hall of Fame

Please make checks payable to the National Museum of Racing and Hall of Fame.

Mail this form, with your payment to:

Membership Chairman

National Museum of Racing

191 Union Avenue

Saratoga Springs NY 12866-3566