home  |  contact  |  sitemap  |  Wednesday, May 14, 2008

Membership - Membership Form Here's how you can join! Please complete this form to become a member or request more information. Make checks payable to Brucemore, Inc., 2160 Linden Drive SE, Cedar Rapids, IA, 52403. Call 319-362-7375 for more payment options. *First Name       *Last Name Company Address City State Zip Code *Email *Email Confirm Phone Number Fax Number I would like to become a Personal Member:   $35 Individual   $50 Household   $100 Patron   $250 Donor   $500 Benefactor   $1,000 Trustees Club   $2,500 The George and Irene Douglas Circle   $5,000 The Howard and Margaret Hall Heritage Club I would like to become a Corporate Member:   $250 Corporate Donor   $500 Corporate Benefactor   $1,000 Trustees Club   $2,500 The George and Irene Douglas Circle   $5,000 The Howard and Margaret Hall Heritage Club Comments and Requests (*required fields)

Membership Membership Form

Home | Your Visit | Events | Exhibits | History | Education | Membership | About | News

Copyright © 2005 Brucemore, All Rights Reserved 2160 Linden Drive SE, Cedar Rapids, IA 52403 · Phone: 319/362-7375 Designed and maintained by Informatics, Inc.