Anniversary Gift Membership Recipients

Thank you for being a part of our 60th Anniversary Membership Campaign.

Please provide the name, email, and mailing address (United States only) of up to six people in the form below.

60th Anniversary Membership - Special Offer

Gift Giver – The person or entity gifting the NMHS Membership

Filling in this "Gift Giver" information will enable us to match your information with the payment of the gift membership(s).
First
Last
Address
Address
City
State/Province
Zip/Postal

 

Please fill in a "Gift Recipient" form for each Gift Membership.

You may include a personal message for each.

Gift Recipient #1

First
Last
Address
Address
City
State/Province
Zip/Postal

Gift Recipient #2

Gift Recipient #3

Gift Recipient #4

Gift Recipient #5

Gift Recipient #6