Friends of the Somers Mountain Museum

Membership Form (printable from browser)

Fill in form on screen and print or print blank and fill in by hand.

NAME:

ADDRESS:

ADDRESS2:

CITY: STATE ZIP:

TELEPHONE:EMAIL:

Friends Categories-Yearly Subscription (check appropriate box)

Individual       $15
Family       $25
Business       $50
Sustaining       $100
Student/Senior       $10

I would like to make an additional donation of $to help protect and develop the Somers Mountain Museum.

Please make checks payable to the Somers Mountain Museum. Since we anticipate achieving IRS 501(c)(3) status (non-profit) within the next 4-6 months your donation will be tax-deductible for the calendar year 1999. To read read more about what we are doing to receive official recognition as a non-profit organization Click Here.

Mail to:

Somers Mountain Museum        
P.O. Box 55       860-749-4129
Somers, CT 06071-0055       SomersMtn@aol.com