Sports Museum of Dutchess County INC.

Carnwath Farms Historic Site & Park | Reese Cultural Center

81 Carnwath Farms Lane

Wappinger, NY 12590

845-632-1570

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Sports Museum of Dutchess County

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Application for Membership

 

DATE:  ____________________ 

 

  
TYPES OF MEMBERSHIP:
REGULAR:  Any person who is interested in the Display and Preservation of Sports Artifacts and Memorabilia for research, historical and informational purposes.
SUPPORTING:   Any business or organization that recognizes and supports the activities and goals of the Sports Museum.
LIFE MEMBER:  Any regular member who pays Life Membership dues.

 

   

 

NAME:  ________________________________________________________________________________

 

MAILING ADDRESS:  ___________________________________________________________________
  _____________________________________________________________________________________

 

TELEPHONE: (HOME) _______________________________ (WORK) ___________________________

 

E-MAIL ADDRESS:  ____________________________________________________________________

 

  
MEMBERSHIP TYPE:

(Check one)

(Check one)

        ____  REGULAR:  ($10)
        ____  SUPPORTING:   (25)
        ____  LIFE MEMBER:  ($50)       

       

        ____  New Member
        ____  Renewal

 

 

   
________________________________________________________
APPLICANT'S SIGNATURE:

 

 

 Please note:  The Sports Museum of Dutchess County is a non-profit, tax-exempt organization.  All memberships, contributions, gifts, etc. are tax deductible as provided by law.

Please make checks payable to Sports Museum of Dutchess County and mail to:

Sports Museum of Dutchess County
c/o Barbara Ponte
2 Topaz Run
Poughkeepsie, NY  12603