First City Museum


C.W.Parker
Carousel Museum


National
Fred Harvey Museum

If you wish to designate your membership to a particular museum,
please circle your choice above.


Memberships: (please select desired level)

Individual$20
Family$30
Friend$50
Benefactor$100
Corporate$200
Sponsor$500
Patron$1,000

Name________________________________________________________________________

Address ______________________________________________________________________

_____________________________________________________________________________

E-mail Address_________________________________

Phone (____)________________________

Amount Enclosed $___________________

Make check or money order payable to:
Leavenworth Historical Museum Assoc (LHMA)

Mail to:
743 Delaware Street
Leavenworth, KS 66048