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...of the Charles Perdew Museum Association and be part of an “Illinois River Tradition.” |
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Name: ______________________________________________________________
Address: ____________________________________________________________
City: _____________________________State: ___________ Zip: ______________
Phone: ___________________________ Email: ____________________________
Membership Type:
£ Individual $25 £ Family $40 £ Corporate/Business $75
Additional Donation: $____________ Total Amount Enclosed: $______________
Credit Card Number: _____________________________ Expires: ____________ |
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If paying by check, Visa or Mastercard:
Print this page, complete the form and send it with your payment to:
Charles Perdew Museum Association PO Box 211 Henry, IL 61537
If paying online with Visa or MasterCard:
Go to the Contact Us page on our website and indicate you are interested in becoming a member, next, in the comments section note what type of membership (Individual, Family or Corporate/Business) and then complete the remainder of the form, or call us at 309-364-3261. |
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The Charles Perdew Museum Association is an Illinois Not-for-Profit Corporation and is recognized by the Internal Revenue Service as a 501 (c) 3 organization. Donations to the Association are tax deductible as a charitable contribution to the extent allowed by law. |