Galesburg Railroad Museum Membership application

Membership to the Galesburg Railroad Museum; $15.00 Individual $25.00 Family $50.00 Patron $100.00 Partner $300.00 Lifetime Membership _______ Other $25.00 Memorial for__________________ Yes / No I would like to help on Railroad Days? Volunteer Application GIFT CERTIFICATES are available upon request. For more information or any questions, please contact:Membership (309) 342-9400 Please print out form, and complete the following: Name:_______________________________________________________ Address: _____________________________________________________ City: ________________________________ State ______ Zip:__________ Phone: ( _________ ) ___________________ email: _______________________________________________________   All checks should be made payable to: Galesburg Railroad Museum Mailing address Galesburg Railroad Museum P.O. Box 947 211 S. Seminary St. Galesburg IL 61402-0947 Amount Enclosed ____________ Check # __________ Date __________