Museum
Membership Form
Select A Level:
o
Individual
Membership: $25
o
Family
Membership: $40
o
Sustaining
Membership: $100
o
Benefactor
Membership: $250
o
Corporate
Membership: $500
o
Contribution
Only: $_______
Benefits:
All members
receive an annual pass for admission to the Museum along with a quarterly mailing
of the newsletter, “Tall Wall.”
Sustaining
members receive a 10% gift shop savings.
Benefactor
members receive a 10% gift shop savings and 2 tickets to a museum sponsored
event.
Corporate
members receive a 10% gift shop savings with 4 tickets to a museum sponsored
event.
Membership in the name of:
Name:______________________________________________
Address:____________________________________________
___________________________________________________
Home Phone:
__________________________
Business Phone:
_______________________
Email Address:_________________________
Please print form, complete and mail with payment: