The Buck Stops Here Society

Membership Pledge Form

[ ] I wish to become a charter member of The Buck Stops Here Society.

[ ] I intend and expect to renew this annual membership over the next_______years making a total pledge of $_______________________.

* With a total pledge of $5,000 or more, the donor will be recognized on a wall in the Library.

For recognition purposes, please list the donor as follows:

___________________________________________________________________

Levels of Membership

[ ] Presidential Aide $ 1,000 annual contribution for years

[ ] Special Assistant $ 2,500 annual contribution for years

[ ] Cabinet Member $ 5,000 annual contribution for years

[ ] President’s Circle $10,000 annual contribution for years

Membership Type:

Corporate

Individual

I wish to fulfill my Buck Stops Here Society membership pledge with:

[ ] annual payments

[ ] quarterly payments

Signature__________________________________________

Date____________________

Name of member____________________________________________________________

Title Dr./ Mr./ Mrs./ Ms./ Miss/ other __________________________ (please circle)

Corporate Contact Name______________________________________________________

Address___________________________________________________

City_____________________________________State_______

Zip__________

Daytime Phone______________________________

Evening Phone___________________

Fax ___________________________________

e-mail______________________________

Enclosed is my check payable to the Harry S. Truman Library Institute

Charge my

   MasterCard       Visa       American Express       Discover

Card number _____________________________________

Expiration Date____________

Signature__________________________________________