Friends of the Smoky Hill Museum

Membership Information

Annual Membership Levels *

Friend ($35 - $49)

Participant ($50 - $74)

Patron ($75 - $249)

Promoter ($250 - $499)

Supporter ($500 - $999)

Benefactor ($1,000 - $3,499)

Champion ($3,500 and above)

Donation Amount *

$

Donation Schedule

This membership is for a business or individual. *

Individual

Organization / Business

Business / Organization Name *

Donor Name *

First Name

Last Name

Email *

Verify Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Is this a gift membership? *

Yes

No

Gift Recipient's Name *

First Name

Last Name

Gift Recipient's Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Gift Recipient's Email

Verify Email

Gift Recipient's Phone

Additional Details

Comments / questions about this gift