An Invitation to Become a Laramie Plains Museum Member!
(Print out and send this form to become a LPM member)

Name: _____________________________________

Phone Number: ______________________________

Address:

_________________________________________

__________________________________________

___________________________________________

$45 Single
$75 Family
$25 Senior Single
$35 Senior Family
$250 Ivinson Mansion Circle (yearly operating support)
$1000 Benefactor
(payable over a two-year period)

Please accept this additional support to help the museum meet present and future needs!

$________________

I would like to make a gift to the Laramie Plains Museum Endowment Fund.

$________________

All memberships include free admission, voting privileges, newsletters, mailings and a 10% discount in the gift shop. Benefactors' names are placed on a permanent plaque in the museum. Benefactor memberships are placed in the museum's permanent endowment fund.

Check (to the Laramie Plains Museum Association)

OR Please charge my credit card

Account Number _______________________________
Expiration Date ________________________________

_______________________________
(Signature)

Thank you for your generous support! We look forward to sending you your new Laramie Plains Museum membership card. Your membership and endowment support are tax-deductible to the extent provided by law.

Send this form to: Laramie Plains Museum, 603 Ivinson Avenue, Laramie, WY 82070-3299