Bily Clocks Museum & Antonin Dvorak Exhibit
PO Box 258,
Spillville, IA 52168

Check your annual membership desired and send your check or credit card information to the address above

Time & Music are Important at the Bily Clocks


____ $30  Seconds / Quarter Notes (one individual)

____ $50  Minutes / Half Note ( two adults at same address children under 18)

____ $40  Half Hour / Full Note (seniors, two adults at same address 65 or older)

____ $500  Hour / Quartet (Life time member, two adults at same address,
                                             children under 18)

____ $1000  Grandfather / Symphony (Business sponsor)

Annual membership entitles you to:
      Free year admission to the museum
      Member only gift
      10% discount in the gift shop

In addition, the Life and Business sponsor
entitles you to:
      8 yearly guest passes (Life)
      12 yearly guest passes (Business)
      Newsletters
      Invitation to exclusive Bily Clocks events

PAYMENT TYPE:
Check: $________
Credit Card NUMBER: _______________________
_____ Visa _____ Master Card _____ Discover
Expiration Date: _____________
Signature: ___________________________________

Name: _____________________________________
Address: _____________________________________
City: ___________________State: ____Zip: ________
Phone # _________________________


YOUR HELP IS NEEDED!
HELP KEEP THE BILY CLOCKS TICKING BY BECOMING A MEMBER TODAY!

Thank you!

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