Tobacco Farm Life Museum
Stakeholder Form
   
 

If paying by check, complete the form online, print out and mail to the museum at the address below. Pledge members or payments by credit card can be submitted by clicking the SUBMIT button at the bottom of the form (Not secure server).
 
Name
Address

City

 State
Telephone
       
           
Please check a category of membership:      
         
  The Golden Leaf Plan
  
  Business & Corporate Levels
Grower $120 annually   Exhibit Sponsor $1,200 annually
Harvester $240 annually   Educational Sponsor $3,000 annually
Producer $600 annually   Outreach Benefactor $6000 annually
Planter $1,000 annually   Museum Sustainer $10,000 annually
Individual $25 annually      
Senior $15 annually      
Family $50 annually      
         
Amount enclosed:
     
Method of payment:  
     
Credit card number  
Expiration  
     
Send me information about the museum's endowment
Send information about the Memorials & Honors Program

The Tobacco Farm Life Museum appreciates your support and patronage.

Complete this form, print, and mail to: Tobacco Farm Life Museum
  P.O. Box 88
  Kenly, North Carolina 27542