Kansas Barbed Wire Collectors Association

Membership Application

Your membership helps to maintain the mission of the Kansas Barbed Wire Museum to educate and to preserve this unique part of history. The Kansas Barbed Wire Museum is operated by the Kansas Barbed Wire Collectors' Association, Inc., a 501(c)(3), tax exempt, not-for-profit corporation chartered by the State of Kansas. Donations are tax deductible to the extent of the law.


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. (This form cannot be submitted on-line)

First Name   M.I.  Last Name 

Street Address 

Mailing Address 

City   State   Postal Code 

Country 

Phone    e-mail 


Choose one of the following options:

Associate Membership: (limited benefits) $10.00 

Regular Membership: $25.00                Family Membership: $50.00 

Sustaining Membership: $100.00          Lifetime Membership: $1,000.00 

I wish to include a donation     Amount of donation  $ 

Total Amount Enclosed  $ 


Make check or money order payable to the Kansas Barbed Wire Museum


MAIL PRINTED APPLICATION AND PAYMENT TO:

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