Use this form only if you are renewing your Society membership.
Membership Number to Renew:
$38.00 One Year $33.00 Senior Rate One Year (65 or older)
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Country:	Will only ship to USA
Donation to the Moss Foundation Three dollars of your membership dues, for each year, may be donated to the P. Buckley Moss Foundation for Children's Education. This Donation will not increase your membership dues and may be tax deductible. Donate $3 of my membership dues to the Moss Foundation: Yes No
P. Buckley Moss Endowed Scholarship Donation At the beginning of 2007 the Society created the P. Buckley Moss Endowed Scholarship with an initial donation of $20,000. We have challenged our membership to collectively match this donation! Please do your part and make a donation today. Select your chosen amount below. For more information about this scholarship, please click here. Thank you!
$5 Endowment Donation $10 Endowment Donation $15 Endowment Donation
Anniversary Pins If you have received your renewal notice in the mail, and it notes that you are eligible for any of the anniversary pins you may select which one(s) you would like to order below. If you do not know if you are eligible to purchase any of these pins please contact us and we will let you know. society@mosssociety.org (540)943-5678
Five Year Anniversary Pin $20 Ten Year Anniversary Pin $20 Fifteen Year Anniversary Pin $20 Twenty Year Anniversary Pin $20
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