IOWA BASEBALL MUSEUM OF NORWAY
Membership/Donation Information

 

YOUR NAME______________________________________________________

YOUR MAILING ADDRESS___________________________________________

YOUR CITY/STATE/ZIP CODE________________________________________

YOUR PHONE NUMBER_____________________________________________

YOUR E MAIL ADDRESS_____________________________________________

	INDICATE PREFERENCE
YEARLY HOUSEHOLD MEMBERSHIP	SINGLE	$25 ________
YEARLY HOUSEHOLD MEMBERSHIP	DOUBLE	$50 ________
YEARLY HOUSEHOLD MEMBERSHIP	TRIPLE	$100 _______
LIFETIME HOUSEHOLD MEMBERSHIP	HOME RUN	$1000 ______
LIFETIME HOUSEHOLD MEMBERSHIP	GRAND SLAM	$10,000 _____
OTHER DONATION		$ __________

 

Mail to:    Iowa Baseball Museum of Norway
%Pam Schmidt
P O BOX 239
Norway, Ia  52318