Membership Form

Price each

$20.00

$30.00

$20.00

$30.00

Total:

Name:

Address:

Phone:

 My E-mail:

Method of Payment

Membership

Name:

Address:

Phone:

E-mail:

Where shall we mail your pass, newsletters, and program updates?

If this is a gift membership, where shall we mail information?

Please mail your check to:

GCHV

206 W South St.

Panora, IA  50216

Thank you for supporting your local museum!