The Munauseum membership form

If you would also like to donate items or become a sponsor, click here for combo form. Please print this page and enclose with check or money order payable to 

Super Toilet Brush * P.O. Box 4409 * Lexington, KY 40544-4409

 
Contact Name  
Company  
Address  
City  
State, Country  
Email contact:  
Website Contact:  
Phone  
____yes  ____no Would you like your name to appear under the "members section" of the website.
____$5-$25 The Munauseum Fan  ____$26-$50 Friend of The Munauseum
___$51-$100 Gracious Friend of The Munauseum ___Over $100 Super Friend of The Munauseum!!
Munauseum Fan: Membership Card and cool Munauseum pencil.
Friend of The Munauseum: Membership Card and tikki toilet cracker w/o the bang!
Gracious Friend of The Munauseum:  Membership Card and Bathroom Meditation travel kit.
 Super Friend of The Munauseum:  Membership Card and a Super Toilet Brush Brand product gift basket