Membership Form
Please complete and return payment to: Brevard Station Museum
112 South Main Street
Stanley, NC 28164
I would like to become a member or renew my membership at the following
Level:
o Associate $25 to $49
o Friends $50 to $74
o Donors $75 to $124
o Patrons $125 to $499
o Benefactors $500 to $999
o Magnolia Circle $1000 Plus
I am not interested in membership at this time
but have enclosed a donation of $____________.
Name: _________________________________
Address: ________________________________
City: ___________________________________
State: ___________________ Zip: ___________
Phone: _________________________________
E-Mail: _________________________________
Make checks payable to Brevard Station Museum.
Thank you for your support of Brevard Station Museum