Friends of the Frost Entomological Museum membership application

Please enroll me as a member of the Friends of the Frost Entomological Museum.

Name ________________________________________
Address ______________________________________
_____________________________________________
Home phone _______________________
Work phone _______________________
FAX number _______________________
Email _________________________

Membership Categories (circle one)

Yearly
$10.00 Ladybugs (students)
$20.00 Firefly (individual)
$25.00 Honeybees (family)

Sponsorship Categories
Lifetime (over five years)
Silver Skippers $500
Golden Scarabs $1000
Monarchs - corporate support ($ variable)

Please send completed application and check payable to:
Friends of the Frost Entomological Museum c/o Dept. Entomology,
501 ASI Bldg., Penn State Univ., University Park, PA 16801.

Contributions to Friends of the Frost are deductible for Federal Income Tax Purposes by virtue of the Internal Revenue Code 501c(3) and the applicable regulations thereunder.