Membership Application Form

Membership Type      (Select One)
Individual ($20)
Family ($35)
Senior Individual ($10) (59 years and older)
Senior Couple ($15)
Non-Resident Family (outside Michigan/Indiana) ($50)
Personal Information
Name   
Address   
 
City, State, Zip   
Telephone   

To join, complete and print this form and mail it with your check to:

The Museum at SMC
58900 Cherry Grove Rd
Dowagiac, Michigan 49047

Be sure to include your full name, mailing address, telephone number and the membership level you are joining.