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Fill out this form and send it with your contribution to:

B-36 PEACEMAKER MUSEUM INC.
P.O. Box 16657
Fort Worth, TX 76162

Membership Options:

[__]   Annual $25.00 to $49.00

 

[__]   Annual $50.00 to $99.00

Receive a B-36 Museum cap.

[__]   Annual $100.00 to $499

Receive a B-36 Museum cap and 15% off any item in the B-36 store.

[__]   Lifetime $500.00+ 

Receive a B-36 Museum cap and 20% off any item in the B-36 store.

Check Enclosed for $____________ dollars (make payable to B-36 Peacemaker Museum).

NAME: _____________________________________________________________________

ADDRESS: __________________________________________________________________

CITY, STATE, ZIP: ____________________________________________________________

PHONE NUMBER: _____________________ EMAIL ADDRESS:________________________

We sincerely appreciate your support.
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