Stuhr Museum of the Prairie Pioneer


Membership Application Memberships run one year from date of purchase Mr., Mrs., Ms. ____________________________________________________________________ Mailing Address: ___________________________________________________________________ Email: ____________________________________________ Phone: ________________________ Design the Membership Plan That Meets Your Needs Please check the desired categories New Membership Renewal INDIVIDUAL $35: One year free admission for one person COMPANION $40: One year free admission for one person and one guest each visit FAMILY $45: One year free admission for 1 or 2 adults and their dependent children under 21 (in your immediate family) Name of parent(s)____________________________________ Names of dependent children under age 21 living at home: ________________________ _________________________________________________ GRANDPARENTS $45: One year free admission for 1 or 2 grandparents and their grandchildren under age 17 (in your immediate family) Name of grandparent(s)______________________________________________ Number of grandchildren under age 17: ______ MEMBERSHIP PLUS PROGRAM: Free admission for 1 or 2 guests per visit with any above membership. ONE GUEST $20 Additional TWO GUESTS $30 Additional Total: $__________ Check Enclosed OR VISA Mastercard Amount $________ Card #______________________________ Expiration Date _____________ Signature _______________________________ Please return completed form and payment to: Stuhr Museum 3133 W. Highway 34 Grand Island, NE 68801 Call (308) 385-5316 with questions