MEMBERSHIP APPLICATION

NAME __________________________________________________

ADDRESS ______________________________________________

PHONE_________________________________________________

I wish to join the museum at the following membership level:

$100.00 Patron/Corporation
$5
0.00 Business
$2
5.00 Family
$1
5.00 Individual
$1
0.00 Student/Senior Citizen


____ Yes, I wish to become a volunteer. Please contact me

at (____) ____________________

Thank You. Your membership will help to do so much for so many.
MEMBERS