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SILENT WINGS MUSEUM MEMBERSHIP FORM
Membership Level
_____ Gold [$100 Annual membership]
_____ Silver [$50 Annual membership]
_____ Bronze [$35 Annual membership]
Payment Options
_____ Money Order
_____ Check
_____ Credit Card
Please circle one: Visa MasterCard Discover
Card number _____________________________ Expiration date_________
Name on Card ___________________________________________________
Signature of Cardholder: __________________________________________
Member Information
Name ____________________________________________
Address __________________________________________
City __________________________ State ______________
Phone ____________________________________________
Email ____________________________________________
Mail to:
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