Archaeology Opportunities Enrollment/Old Pueblo Archaeology Subscription Form

Name: (Mr., Ms. Mrs.) ___________________________________________________________

Address: ________________________________________________________________________

City, State, Zip Code: __________________________________________________________

Area Code & Phone: (_____) _____________  Email address: ________________________

I am submitting the following check or credit card payment for:

Archaeology Opportunities membership* (Category: __________________) **   $ _____
Old Pueblo Archaeology bulletin subscription only***                      $ _____
Donation to Old Pueblo Archaeology Center                                 $ _____

TOTAL ENCLOSED                                                            $ _____

All paid Old Pueblo Archaeology Center memberships (and subscribers) receive four issues of the quarterly “Old Pueblo Archaeology” bulletin during each membership year. You have the option of receiving our digital version of the bulletin (which features full-color photographs!) via email if you provide Old Pueblo Archaeology Center with your current email address. Otherwise, you will receive our printed two-ink-color bulletin (which does not include color photos) via regular bulk mail each quarter. Please select your preference for digital (emailed) or printed (regular mail) bulletin:
____ Full-color digital bulletin (Be sure you entered your email address above if you select this option)
____ Two-ink-color printed bulletin via regular bulk mail
________________________________________________________________________
Please return this form with credit card information completed below,
or with a check (payable to Old Pueblo Archaeology Center), to:

Old Pueblo Archaeology Center
PO Box 40577
Tucson AZ  85717-0577

Questions? Call Old Pueblo at 520- 798-1201

Thank you for helping teach and protect the Southwest’s heritage!
 ________________________________________________________________________

Complete this section only if paying with Visa or Mastercard:

Please charge to my:             Visa                      Mastercard

Name on credit card: ____________________________________________________________

Account #: ______________________________________________________________________

Expiration date: ________________________________________________________________

3 digit security code from back of card: ________________________________________

Signature: ______________________________________________________________________

Date signed: ____________________________________________________________________

Notes:

* Each membership receives four issues of Old Pueblo Archaeology.

** If you are requesting a Household, Contributing, Supporting, or Sponsoring membership,
please list all household members who will receive membership benefits on the lines below:

______________________________________________________________________________________________

______________________________________________________________________________________________

*** Subscription is included with all other membership categories besides Subscriber;
subscription alone is $10/year.