old independence regional museum








Membership Enrollment


Individual- $30

Student/senior - $20

Individual benefits at a reduced rate

Family/dual-$50

Friend-$100

Call the museum office at 870-793-2121 for information about business, corporate, and other opportunities to support regional history and cultural activities at Old Independence Regional Museum.

**************************************************************************************************

Membership Form

Please enroll me as a member of The Old Independence Regional Museum:

Name___________________________________________________________________________________________
Address___________________________________________________________________________________________ _______________________________________________________________________________________________________________________________________
Telephone _______________

Level of giving                                  VISA       MASTERCARD     PLEASE CIRCLE TYPE:
Member level $_______________             CASH CHECK CREDIT CARD #_________________EXPIRES:________

___ New                                                                  Mail to:
___ Renewal                                                            Old Independence Regional Museum
                                                                                Attn: Membership
                                                                                P.O. Box 4506
                                                                                Batesville, AR 72503




Old Independence Regional Museum








Day Sponsor Enrollment


Patron/Day Sponsor – one day at $250
Approximately $250 per day is required to operate the Museum. For each day of Museum operations sponsored, the member can "name the day." Many people choose to honor a family birthday or anniversary, a special friendship, or to express the support of a community business. This level of support includes free tours of the Museum for guests and an individual membership awarded to someone of your choice. The sponsor and the designated naming message will be recognized on the chosen day through a sign in the museum entrance and several other acknowledgments including the museum newsletter and annual report, a statement in regional newspapers and on radio.

Sustainer - 2 days at $500
Benefactor - 4 days at $1000 Old Independence Society - 1 week at $1750 Call the museum office at 870-793-2121 for information about business, corporate, and other opportunities to support regional history and cultural activities at Old Independence.
**************************************************************************************************
Day Sponsor Form
Please enroll me as a day sponsor of The Old Independence Regional Museum:
Name___________________________________________________________________________________________
Address___________________________________________________________________________________________ _______________________________________________________________________________________________________________________________________
Telephone _______________

Level of giving                                  VISA       MASTERCARD     PLEASE CIRCLE TYPE:
Member level $_______________             CASH CHECK CREDIT CARD #_________________EXPIRES:________

DAY SPONSOR:
Choice of day(s) to be sponsored ______________________________________________________________________

Day sponsor message (limit 15 words) _________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________

Send an individual membership to _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________

Is this a surprise for the honoree? ________________

Who gets the postcard? ___________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________

___ New                                                                  Mail to:
___ Renewal                                                            Old Independence Regional Museum
                                                                                Attn: Membership
                                                                                P.O. Box 4506
                                                                                Batesville, AR 72503