Online Support Form Are you requesting to Renew Your Membership or Create a New Membership? Renew Existing Membership Create New Membership Choose your membership level desired. Individual - $35 Family - $75 Friend - $200 Patron - $500 Benefactor - $1000 I would like to offer a donation.Please enter in your personal donation amount. Please keep my donation anonymous My place of business has a matching gift program. Please contact me with details. Contact Me at:Enter your email or phone number and someone from Rancho Bernardo Historical Society will contact you shortly. In addition to my donation, I would like to: Become a Docent Help raise money Volunteer in the museum Volunteer at events Total Membership and/or Donation Amount $0.00 How do you wish to pay? Check Credit Card Please make payable to: Rancho Bernardo Historical Societyand mail to: Rancho Bernardo Historical Society, PO Box 27314, San Diego CA, 92198-7314Credit Card (Credit Payments Processed via Square)* Cardholder Name Card Details Name*Please Provide Your Information: (List both names for Family Memberships) First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Business Name (If Applicable) Email* Phone*IMPORTANT - Please review your submission above before you hit that submit donation button. Δ
