Please print this form and mail.
MEMBERSHIP or other DONATIONS For donations beyond membership
MENOMINEE RANGE HISTORICAL FOUNDATION indicate:
Make Check Payable to: Museums General Funds _____________
Send to: P.O. Box 237, Iron Mountain, Mich. 49801 Glider Project ______________
Name ________________________________________________________ Phone No.___________
Address __________________________________________________________________________
City, State ___________________________________________________________ Zip __________
-ANNUAL MEMBERSHIP ($15) ________ Includes Family (Children Living at Home to Age 18)
-LIFE MEMBERSHIP ($100) ________ Dues Paid for Life, 1”X3” Plaque, Installed at Cornish
Pump/Mining Museum.
Plaque Inscription as Follows:
Name ________________________________________________________________________
City, State ____________________________________________________________________
-FOUNDER’S CLUB ($1000) ________ Dues Paid for Life, Larger, Bronze 2”X8” Plaque, Installed
at Menominee Range Historical Museum. Earnings from these Donations may be used to
perpetuate the Museums. Plaque Inscription as Follows: (May hold up to 5 lines of information.)
Name ________________________________________________________________________
City, State ____________________________Additional Information as follows:_____________
______________________________________________________________________________
-HERITAGE CLUB ($1000) _______ Dues Paid for Life, Larger, Bronze 2”X8” Plaque, Installed
at Cornish Pumping Engine and Mining Museum. These Funds may be used in Total for
Maintenance of the Museums. Plaque Inscription as Follows: (May hold up to 5 lines of Information.)
Name ________________________________________________________________________
City, State ___________________________Additional Information as follows:______________
______________________________________________________________________________
-MEMORIAL ($50) _______ $50 Needed to Set Up Initial Plaque, then Additional Names
Added as Memorial Donations are Received. Plaque Inscription as Follows:
In Memory of
Name: ___________________________________________________
City, State ________________________________________________
By Donor’s Name (s) ___________________________________________
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_____ I would like to donate items for rummage sale, call me.
_____ I would like to donate my time. _____ I would be willing to bake.
_____ I would like you to know that we/I have named the museums in our/my will.
_____ I would like to assist Friends of the Museum on their fund-raising projects.
_____ I'm interested in a special Glider Project donation.
WE NEED YOU - YOU WILL SUPPORT YOUR MUSEUMS WITH THIS MEMBERSHIP!
FOUNDERS, HERITAGE, LIFE & YEAR 2000 CLUB MEMBERS ARE NOT REQUIRED TO
SUBMIT DUES UNLESS THEY PREFER TO CONTINUE SUPPORTING THE MUSEUMS.
- MENOMINEE RANGE HISTORICAL FOUNDATION - BOARD OF GOVERNORS