Membership Form

AGSEM Membership Form
New or Returning Member?

I'm New to AGSEMI'm Renewing My Membership
Renewing Members: need a new badge?

yesno
Name*

First NameLast Name
Additional Family Members (for Dual and Family Memberships only). *
First & Last Names
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
By signing up for membership your email will be added to our MailChimp e-newsletter for members where we will send out all of your membership information. If you unsubscribe from this newsletter it will be up to you to check the museum website or facebook page for updates and to resign up for notices that may include renewal notices and/or election information.
Interested in volunteering?*

SORRY, I am not interested in volunteering at this timeFood ServiceWork PartiesTractorsAutos/TrucksMaintenanceGardeningTractor DrivingEventsOther

Please be sure to select the Guild or Guilds that you currently participate in or intend to participate in. One hundred percent of the Guild fees goes directly to the Guild/s selected.The Guild fee also includes a parking pass you can pick up from the office or can be issued by your Guild lead.*

Museum Membership

Individual

$55.00

Dual

$70.00

Family

$90.00

Guild Membership

Spinners & Weavers

$10.00 Quantity

Steam Engines

$10.00 Quantity

Blacksmiths

$10.00 Quantity

Clock & Watch

$10.00 Quantity

Wheelwrights

$10.00 Quantity

Model Railroad [Guild + Program Fee]

$70.00 Quantity

Gas Engines

$10.00 Quantity

Sawmill

$10.00 Quantity

Machine Shop

$10.00 Quantity

Total

$0.00

Credit Card

Should be Empty:

AGSEM Membership Form

Credit Card