Bill & Bonnie Daniels
FIREFIGHTERS HALL & MUSEUM
664-22nd Avenue Northeast
Minneapolis, MN 55418
(612) 623-3817
MEMBERSHIP APPLICATION
Name: ___________________________________________________
Address: _________________________________________________
City________________________________ State____ Zip__________
Phone: (_______)___________________________________________
Email: ___________________________________________________
Fire Service/Institution/Corporate Org.:__________________________
Annual Membership:
|
|
Individual Member |
$36.00 |
|
|
Family Member |
$48.00 |
|
|
Friends of the Fire Museum |
$100.00 |
|
|
Fire Service Organization |
$200.00 |
|
|
Institution/Corporate |
$300.00 |
Life Membership:
|
|
Individual Life Member |
$500.00 |
|
|
Family Life Member |
$1,000.00 |
|
|
Fire Service Life Member |
$1,000.00 |
|
|
Institution/Corp. Life Member |
$5,000.00 |
Charter Life Membership:
|
|
Individual Charter Life Member |
$1,000.00 |
|
|
Family Charter Life Member |
$2,000.00 |
|
|
Fire Service Org. Charter Life Member |
$3,500.00 |
|
|
Institution/Corp. Charter Life Member |
$10,000.00 |
$_______________Contribution (Tax Deductible)
$_______________Total enclosed
Make Check payable to: B&BDFH&M
Date ____________________