Retiree and Former Employees Form

Would you like to stay up to date regarding events at the museum which pertain to Retirees and Former Employees of the Staley Mfg Co., Tate & Lyle, and/or Primient?

Fill out the form below to stay in the know! We will notify you of all special events and upcoming exhibits that you may be interested in.

Did you know most of our volunteers are former employees and retirees? If you’d like to participate in these events, follow this link to volunteer with us!

Name*
First Last
Phone*
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Which company were you an employee?*
- Staley Mfg Co
- Tate & Lyle
- Primient
Consent*
I consent to having Staley Museum and this website store my submitted information so they can respond to my inquiry via email or phone.
I agree.*
Comments
This field is for validation purposes and should be left unchanged.