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Please fill out the form below and submit it - you will be mailed a copy you can print out and return to the museum either by postal mail or by dropping it off.

We hope to be able to offer you a way to pay online in the future.

Individual - $20 Grandfamily - $30
Family - $40 Patron - $100
Lifetime - $250 

In addition, I would like to contribute to the Iron Hill Museum Building Fund: $

Full Name:  
Phone Number (with area code):  
Street Address:  
Address (Suite, Apt#):  
City:  
State:  
Zip Code:  
Email:  
Occupation (optional):  
Scientific Interest:  
New or Renew?: