MEMBERSHIP/DONATION FORM

We now accept credit cards. Please call 814-623-1588 for information.

If you choose to enroll by mail and pay by check, please print and mail this form
along with your check to:

THE NATIONAL MUSEUM OF THE AMERICAN COVERLET
322 South Juliana Street
Bedford , PA 15522

Checks can be made payable to NMAC.

Your Generous Gift is Sincerely Appreciated
Your Participation is Cordially Invited

Please find my enclosed check in the amount of:

  $40 (Individual)
  $50 (Family)
  $100 (Sponsor)
  $250 (Corporate)
  $500 (Patron)
  $1,000 (Benefactor)

I want to participate:

  I am interested in donating coverlets, reference materials, and/or weaving equipment.
  I am interested in becoming a volunteer.
  I am interested in learning more about the Collectors’ Council.
  Please send me ____ brochures to give to my friends.

NAME________________________________________________________

STREET_______________________________________________________

TOWN/STATE/ZIP_______________________________________________

EMAIL________________________________________________________

TELEPHONE____________________________________________________

Comments/Questions: