(Please print, fill out and mail to the address below.) Click here to view or print a pdf version.
Membership Form for the Cheyenne Mountain Heritage Center Return to Membership Page
Membership Levels - check (x) the appropriate level
| Individual ($40) | Retired ($30) | ||
| Family ($60) | Business ($100) | ||
| Student ($10) | Lifetime ($500) | ||
| CMHC/Alumni combo ($25) Graduating seniors only | Donation $__________ |
Membership is based on 12 months.
Name_________________________________________________________
Address_______________________________________________________
City____________________________________State___ Zip ____________
Email _________________________________________________________
VISA ___ MasterCard ___ Discover ___
Card# _______________________
Name on Card __________________________________________________
Exp. Date _________ 3-Digit Security Code ___________
Signature ______________________________________________________
The mission of the Cheyenne Mountain Heritage Center is to gather and share the unique inheritance
of the Cheyenne Mountain region. Your donation is tax deductible, and all gifts are unrestricted
unless otherwise requested.
Mail to:
Cheyenne Mountain Heritage Center
1118 West Cheyenne Road
Colorado Springs, CO 80906