SEK Passport Template 2023

SEK Museum Alliance Passport

Application for Participating Museums
The SEK Museum Alliance is a voluntary group of museums working together to support the museums of southeast Kansas by promoting their events and activities, sharing resources, and providing learning opportunities to advance the unique histories of the area. To that end, the SEK Museum Alliance has created the SEK Museum Alliance Passport to help increase tourism to and within the 15 counties of southeast Kansas. The project is for non-profit organizations located in the 15 counties and housed in a building in which objects of historical, scientific, artistic, or cultural interests are stored and exhibited.
Instructions:

Complete this application by 10/15/2023.

Each participating museum will receive 25 Passports and a SEK Museum Alliance window sticker.

Minimum participation fee per individual museum is $25.00.
>>Additional passports may be purchased as noted below.

Passport distribution for participating museums will begin on 1/1/2024
Questions?

Contact Leanne Githens at 918-645-3168 or email lgithens55@gmail.com
Museum Name:
Photos:

Attach two or three photos (editor will choose 1): Format jpg or pdf file preferred. Photos can also be emailed to SEKMuseums@gmail.com.
Upload Photo(s)
Physical Address:
Narrative:

Maximum 650 characters with spaces0/650
URL: (Used for QR Code Type Web address)
Provide Hours and Contact Information, email, phone and handicap accessibility. Maximum 320 characters with spaces excluding header.
PASSPORT ORDER FORM
Museum Name
Contact Name
Contact Address
Contact Phone
Contact Email
example@example.com
Passport Order
prevnext( X )
Passports: 25 minimum orderonline payment fee included
$25.75



Passports: 25online payment fee included
$25.75 Quantity



Passports: 50online payment fee included
$51.50 Quantity



Passports: 100online payment fee included
$103.00 Quantity



Passports: 250online payment fee included
$257.50 Quantity



Passports: 500online payment fee included
$515.00 Quantity



Passports: 750online payment fee included
$772.50 Quantity



Total

$0.00
Authorized Signature

Clear
Date

MonthDayYear
Date

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

Should be Empty:

Questions?

PASSPORT ORDER FORM