RESOURCE FORM

Organization Name* _______________________________ Telephone ____________

* (Please include organization brochure or other information)

Contact Name ___________________________________ Telephone ____________

Street Address ________________________________________________________

City ______________________________ State ________ Zip Code ____________

Mailing Address (if different) ______________________________________________

Email __________________________ Website _____________________________

Museum Member ________ Financial Support ________

Has artificats to donate ___________________________________________________

_____________________________________________________________________

Has collection available for research _________________________________________

_____________________________________________________________________

Has stories to tell _______________________________________________________

_____________________________________________________________________

Willing to:
raise funds ______ work on building modifications ______
help organize collection(s) ______ consult regarding Museum activities ______
do oral histories ______ help with typing and mailings ______

Other ________________________________________________________________

Form completed by ____________________________________________________
Date _________________________