Sports Museum of Dutchess County

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Application for Membership

DATE:  ____________________ 

 
TYPES OF MEMBERSHIP:

REGULAR:  Any person who is interested in the Display and Preservation of Sports Artifacts and Memorabilia for research, historical and informational purposes.
SUPPORTING:   Any business or organization that recognizes and supports the activities and goals of the Sports Museum.
LIFE MEMBER:  Any regular member who pays Life Membership dues.

   

NAME:  ____________________________________________________

MAILING ADDRESS:  _________________________________________
  ___________________________________________________________

TELEPHONE: (HOME) ________________ (WORK) ________________

E-MAIL ADDRESS:  ___________________________________________

 
MEMBERSHIP TYPE:
(Check one)
        ____  REGULAR:  ($10)
        ____  SUPPORTING:   (25)
        ____  LIFE MEMBER:  ($50)

   
________________________________________________________
APPLICANT'S SIGNATURE:

 

 Please note:  The Sports Museum of Dutchess County is a non-profit, tax-exempt organization.  All memberships, contributions, gifts, etc. are tax deductible as provided by law.

Please make checks payable to Sports Museum of Dutchess County and mail to:

Sports Museum of Dutchess County
c/o Barbara Ponte
2 Topaz Run
Poughkeepsie, NY  12603

 

Form last updated:  September 12, 2005