Kansas Barbed Wire Museum
Membership Application

To become a member of the The Kansas Barbed Wire Museum, please fill in and print the application below.


Membership Levels:

Individual: $25.00 

Family: $50.00  

Sustaining: $100.00 

Lifetime: $1,000.00 


All membership levels include the following benefits:


Your membership helps to maintain the mission of the Kansas Barbed Wire Museum. The museum derives nearly 100% of its income from gift shop sales, donations, and membership dues. Without the continued support of our members, the museum would be unable to fulfill its mission to educate persons and preserve this unique part of our American history.





The Kansas Barbed Wire Museum is operated by the Kansas Barbed Wire Collectors' Association, a 501c(3), tax exempt, non-profit corporation chartered by the State of Kansas.
All donations are tax deductible.

Instructions: Enter your information in the appropriate blanks, print a hard copy of the application form, and mail to the address at the bottom of the form. Please include check or money order with your application.
 

First Name    M.I.    Last Name 

Street Address 

Mail Address 

City    State    Postal Code 

Country 

Phone    e-mail 



Choose one of the following options:
Regular Membership: $25.00                Family Membership: $50.00 
Sustaining Membership: $100.00          Lifetime Membership: $1,000.00 

I wish to include a donation to further the mission of the museum    Amount of donation  $

Total Amount Enclosed  $


Make checkor money order payable to the Kansas Barbed Wire Museum

(Sorry, we cannot accept credit cards at this time)


MAIL PRINTED APPLICATION AND PAYMENT TO:

Kansas Barbed Wire Museum
P.O. Box 578
LaCrosse, KS 67548-0578

(This form cannot be submitted on-line)

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