Membership Form❍ New mem ber (HACNV20MAIL)

❍ Renewal (HRCNV20MAIL)

❍ Outright contribution (HHCNV20MAIL)

❍ Gift of membership (HACNV20GMMAIL)

Membership level or contribution amount: ❍ $25 ❍ $40 ❍ $100 ❍ $250 ❍ $500 ❍ $1,000 ❍ $2,500 ❍ $5,000 ❍ Other _________(Minimum membership level is $25)

Name(s): _________________________________________________________________________________Address: _________________________________________________________________________________Address 2: _______________________________________________________________________________City: _____________________________________ State: ____________________ Zip: ________________Country: _________________________________ Telephone*: (_______) __________________________ Email address*: ___________________________________________________________________________❍ Yes, I would like to receive occasional e-updates about the museum’s progress.

Gift membership recipient Gift recipient name: ________________________________________________________________________Address: _________________________________________________________________________________ Address 2: _______________________________________________________________________________City: _____________________________________ State: _____________________ Zip: ________________Country: _________________________________ Telephone* (_______) ____________________________Email address*: ___________________________________________________________________________

Payment Information:❍ Please make check payable to Smithsonian NMAAHC❍ Visa ❍ Mastercard ❍ American Express ❍ DiscoverCredit card number: ________________________ Expiration date (MM/YYYY): _________/____________Signature: _________________________________ Name on card: _________________________________*Your email address and phone number will not be shared.

❍ I do not wish to receive membership benefits and would like my entire contribution to go to NMAAHC.Please make 100% of my donation tax deductible.

You can also give online at nmaahc.si.edu/give

Return this form to:NMAAHC | Contribution Receipt Center PO Box 98097 | Washington DC 20090-8097

NMAAHC Benefits of Membership

$25 | SupporterThe full amount of your contribution is tax-deductible.• Membership card valid for a 10% discount at all Smithsonian museum stores** and the Sweet Home Café• Our semiannual museum newsletter• Your name listed on the museum’s electronic honor roll kiosk• “A Page from Our American Story,” a regular educational online series• Email updates about museum events, programs, and exhibitions

$40 | ContributorThe estimated value of these benefits is $5; the remainder of your contribution is tax-deductible. • All of the above, plus• A beautiful Certificate of Membership, suitable for framing that recognizes your participation as a member• An annual wall calendar featuring highlights of the museum’s collection

$100 | AssociateThe estimated value of these benefits is $17; the remainder of your contribution is tax-deductible. • All of the above, plus• Four postcards featuring images representing the museum, its mission, and collections• A complimentary copy of The National Museum of African American History and Culture: A Souvenir Book

$250 | FriendThe estimated value of these benefits is $58; the remainder of your contribution is tax-deductible. • All of the above, plus• Begin with the Past: Building the NMAAHC, a beautiful book that discusses the founding of the museum• An exclusive member tote bag

$500 | BenefactorThe estimated value of these benefits is $91; the remainder of your contribution is tax-deductible. • All of the above, plus• A supporter-level gift membership for a family member or friend• An invitation to one special exhibition opening or member’s only event• A copy of the Offical Guide to the Smithsonian National Museum of African American History and Culture

$1,000 | Director’s CircleThe estimated value of these benefits is $149; the remainder of your contribution is tax-deductible. • All of the above, plus:• Invitations to exclusive insider events***• A commemorative Director’s Circle label pin• Dream a World Anew: The African American Experience and the Shaping of America

$2,500 | Director’s Circle PlusThe estimated value of these benefits is $209; the remainder of your contribution is tax-deductible. • All of the above, plus:• Annual recognition in the Smithsonian’s Annual Report • A personal copy of the Smithsonian’s Annual Report• An invitation to a members-only breakfast with a curator• A 20% discount at Smithsonian museum shops** when you present your exclusive Director’s Circle Plus

member card

$5,000 | Director’s Circle ChampionThe estimated value of these benefits is $238; the remainder of your contribution is tax-deductible. • All of the above, plus:• An annual behind-the-scenes tour• Semiannual insider updates from NMAAHC’s director • A copy of the lavishly illustrated book From No Return: The 221-Year Journey of the Slave Ship São José

Benefits subject to change as new material is developed. ** Discount does not apply to Smithsonian American Art Museum and National Portrait Gallery. For membership levels less than $500, the Smithsonian museum stores discount is valid on purchases up to $200.*** Subject to availability.

The portion of your membership payment that is deductible for federal income tax purposes is limited to the excess of your payment over the value of the goods and services you receive. Please see the membership levels for information regarding that value.

Return this form to:NMAAHC | Contribution Receipt Center PO Box 98097 | Washington DC 20090-8097

For more information, please call (800) 209-9178 or email NMAAHCmember@si.edu