I want to become a member of the Blanden Art Museum:
| Name | |
| Address | |
| City, State, Zip | |
| Level of Membership: |
Individual - $25-$39 Household - $40-$99 Business/Contributing - $100-$249 Patron - $250-$499 Benefactor - $500- $999 NEW Conservator - $1000 + |
| Additional Information: |
In the future I would like to receive information about the Blanden Memorial
Art Museum on-line |
| Please send me more information about your endowment Categories :permanent collection, educational services, & general operations. |
Please send this form & your check made payable to:
BLANDEN CHARITABLE FOUNDATION P.O. Box 1254 Fort Dodge, IA 50501