Coolspring Power Museum

Membership Form

Company Name: ____________________________________

Home Phone: ______________________

Name: ____________________________________

E-mail: ______________________

Street: ____________________________________

 2nd E-Mail: ______________________

City: ____________________________________

Cell Phone: ______________________

State: ____________  Country:   ______________

Work Phone: ______________________

ZIP code or International Code:  ______________

Fax: ______________________

Do you wish your name to be kept confidential? If you answer yes, your name will not be printed in the museum's Friends Directory: (Yes or No):_________
Expertise/Occupation/Skill you could volunteer to the museum:___________________________________

 Please check one:


Annual Friend Dues - $30

Patron $1,000

Annual Family Friend Dues - $40

Cornerstone Patron $5,000 - $9,999


Endowment Patron $10,000 and up

Membership Dues Amount from Above


Additional Amount for the General Operating Fund


Additional Amount for the M.A.N. Diesel Engine Fund


Additional Amount for the Endowment Fund


International Processing Fee*




Total Enclosed


Send with remittance to:

Coolspring Power Museum
c/o Gail Lavender
179 Coolspring Road
Coolspring, PA 15730

The official registration and financial information of Coolspring Power Museum may be obtained from the Pennsylvania Department of State by calling toll-free, within Pennsylvania, 1-800-732-0999.  Registration does not imply endorsement.

*International Members: Please add a $15 fee to cover the fee our bank charges
to process your non-US$ checks.


Copyright 2021 by Coolspring Power Museum