INSTRUCTIONS
Simply complete this brief application, print it out, and mail with your payment in an envelope to:

Adams Museum & House
P.O. Box 252
Deadwood, SD 57732

To join by phone, call 605-578-3724 and charge your membership to your VISA or MasterCard.

I'd Like to:
Become a member
Renew my membership
Give a gift membership

Gift from:

LEVELS

Basic Memberships
Senior - $20
Senior Couple - $25
Individual - $30
Family (One or two adults and children up to 18 years) - $40

Special Memberships
Calamity Jane - $50
Wild Bill - $100
Harris Franklin - $250
W.E. Adams - $500

Member Name(s)


Children's Names (If purchasing family membership)


Address

City
  State   Zip

Daytime Phone

E-mail

Membership Fee
$

Check enclosed (payable to Adams Museum & House)

Please charge my: Visa Mastercard

Account Number:

Expiration Date:

Signature ____________________________