Membership Type: (Check the line below)

Individual, One Year: $30
Individual, Two Years: $50
Family, One Years: $50
Family, Two Years: $80
Sustaining: $100
Sponsor: $250
Benefactor: $500
Foundation: $1,000
Fred Graue Society:
Additional Contribution _____________

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New Membership Renewal

Gift Membership (Please fill out both sets of information below)

• Name:    
  
  
• Address: 
   
 
• City:  • State:

• Zip:

• Email:     


• Home Phone:  

• Business Phone: 

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If a gift,

• Gift Recipient's Name:
    

• Gift Recipient's Address:


• Gift Recipient's City:
 

• Gift Recipient's State:


• Gift Recipient's Zip: 

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• Payment Type: 
• Check enclosed in the amount of $ 
  (Please make payable to Graue Mill and Museum) 
• Charge $  to my: 

VISA Mastercard

            Account Number:      

            Expiration Date:    

            Signature (Required for credit card purchases): 

INCREASE YOUR GIFT!

Many corporations will match their employees' tax-deductible gifts to educational and cultural organizations. If you work for a company with a matching gift program, please submit a matching gift form and your gift will be increased!

Please use the print button on your browser to print these pages.

Send the completed form along with your check to:

GRAUE MILL AND MUSEUM
3800 York Road
Oak Brook, IL 60523

If you used your credit card, you can fax this form to (630) 920-9721.

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YOUR MEMBERSHIP IS DEDUCTIBLE FOR INCOME TAX PURPOSES AS PROVIDED BY LAW.