Membership Application
July 1, 2011 - June 30, 2012
| Name(s): | |
| Address: | |
| City: | |
| State: | |
| Zip: | |
| Phone: | |
| Email: |
| Check one | Category | Cost | |
| Student | $ 5.00 | ||
| Individual | $ 10.00 | ||
| Family | $ 25.00 | ||
| Patron | $ 26.00 | ||
| Supporting / Business | $ 100.00 | ||
| Sustaining | $ 200.00 | ||
| Individual Life | $ 800.00 | ||
| Couple Life | $1500.00 | ||
As a newly created organization, Allison-Antrim Museum, Inc. has received federal income tax exempt status under section 501(a) of the Internal Revenue Code as described in section 501(c)(3).
Please make your check or money order payable to:
Allison-Antrim Museum, Inc.
and send to the following address:
Allison-Antrim Museum, Inc.
365 South Ridge Avenue
Greencastle, PA 17225-1157