Eastern Oregon Museum Membership Form

Name: 

 

Address:

 

City:                                                                             State:                                            Zipcode:

 

Phone:                                                            Email:

 

Please mark your membership of choice for the 2020 season:

 

______ Individual membership: $30 / year                                                                           _____ Couple membership: $40 / year

 

______ Individual Senior membership: $20.00 / year                                                        ______Couple Senior membership: $30.00 / year

 

_______Family membership: $60.00 / year                                                               I would like to donate ____________ for the 2020 season

 

Please make your check payable to: Eastern Oregon Museum.  Return Membership form and payment to:

Eastern Oregon Museum, P.O. Box 64 Haines, Oregon 97833