Montana Historical Society

* First Name * Last Name
* Area Code & Phone * Email Address
Organization Name
* Address or P.O.Box
* City
* State
* Zip Code

   Registration Fee - (pre-registration is required)

       please check one:
Check - (Please make checks payable to: Museums Association of Montana)
Money Order


   Please complete a separate form for each individual and send to:

Montana Historical Society
Attn: Deb Mitchell
PO box 201201
Helena, MT. 59620-1201