Kripplebush Schoolhouse Museum
Membership Sign-up Form

 

Name

____________________________________

Address

___________________________________

City State Zip

____________________________________

Phone

____________________________________

email

____________________________________

 

I was a student at the school from _________!

$500 — Principal

$100 —Honor Roll

$75—Teachers Pet

$50—A+ Student

$25– Scholar

$____- Preservation Award

My employer has a matching gift program.

This donation is in memory of:_________________________________

 

Members receive:

- Kripplebush Schoolhouse Newsletter
- Free unlimited visits to the museum (when it reopens!)
- Voting privilege at annual meeting

Please print, mail & make your tax deductible checks payable to:

Kripplebush Schoolhouse Museum Inc.
PO Box 91
Stone Ridge, NY 12484

Your name will not be shared with other organizations.

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