Membership and Renewal Application Level of Annual Membership: *   General Individual            $    25    General Family                $    35    Pathfinder  Level              $  100-$249    Wagonmaster Level         $  250-$499    Pioneer Level                  $  500-$999    Adventurer                      $1000-$2,499    Trailblazer                       $2500 OR MORE         NAME * MAILING ADDRESS * BILLING ADDRESS * TELEPHONE * E-MAIL  * AMOUNT * Membership payment: *   VISA    MASTERCARD  Card No. * Expiration Date * 3 digit security code * Cardholder Name *       The IRS has designated this Society and Museum as a 501(C)(3) orgaization                                 Donations are tax deductible to donor                     Please consult your tax adviser for specific information * = Input is required