Membership Form Please fill out this form, print, and mail to the society. I/we would like to be a Friend of The Country Grain Elevator Historical Society 155 Prospector Trail Bozeman, Montana 59718-7988 Enclosed are annual dues (in US funds) of: $20 individual/family ($25 outside US) $100 business We accept checks, cash, or PayPal to: countrygrainelevatorhs(at)gmail.com I would like to make a tax-deductible donation of: Other $101-$249 (Boot) $250-$499 (Leg) $500-$999 (Distributor) $1000+ (Cupola) Name Last, First (required) Mailing Address City State Zip Country Phone FAX Email address (required) Please send a gift membership to: Name Last, First Mailing Address City State Zip Country Phone FAX Email address Questions or Comments? For more information write: The Country Grain Elevator Historical Society 155 Prospector Trail Bozeman, MT 59718-7988 call or text 4o6.58one.4397 4o6.58one.1o76 or email bselyem(at)country-grain-elevator-historical-society.org (include your name, address & phone number) Home
Membership Form
Please fill out this form, print, and mail to the society.
I/we would like to be a Friend of The Country Grain Elevator Historical Society 155 Prospector Trail Bozeman, Montana 59718-7988
$20 individual/family ($25 outside US) $100 business
We accept checks, cash, or PayPal to: countrygrainelevatorhs(at)gmail.com
I would like to make a tax-deductible donation of:
Other $101-$249 (Boot) $250-$499 (Leg) $500-$999 (Distributor) $1000+ (Cupola)
Name Last, First (required)
Mailing Address City State Zip Country Phone
FAX
Email address (required)
Please send a gift membership to:
Name Last, First
Email address
For more information write:
The Country Grain Elevator Historical Society 155 Prospector Trail Bozeman, MT 59718-7988
call or text 4o6.58one.4397 4o6.58one.1o76 or email bselyem(at)country-grain-elevator-historical-society.org (include your name, address & phone number)
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