Gorge Heritage Museum Print and mail this form with a check to: West Klickitat Historical Society Gorge Heritage Museum PO Box 394 Bingen, WA 98605

Museum memberships are available as follows: Individual.....................$20 Family.........................$35 Supporting.................$100 Life Member............$1000

Name: __________________________________________________________________ Address: ________________________________________________________________ City: _____________________________ State: ________________ Zip: ____________ Email Address: __________________________________________________________ Membership $ ____________ Gift/Donation $ ____________ Total $ ____________ Click Here for printer friendly form ( Requires Adobe Acrobat reader 5.0 or better )