Wyckoff House Museum · Membership Renewal or Registration

Membership Level

*

$60 - Individual Supporter

$100 - Dual

$250 - Founder

$500 - Benefactor

$1,000 - Patron

$2,500 - Pieter Claesen Society

$

One time membership or renew annually?

Choose your desired membership level

Your remaining contribution will be recognized as an added donation. We truly appreciate your extra support!

Individual Supporter ($60)

Dual ($100)

Choose your desired membership level

Your remaining contribution will be recognized as an added donation. We truly appreciate your extra support!

Individual Supporter ($60)

Dual ($100)

Founder ($250)

Choose your desired membership level

Your remaining contribution will be recognized as an added donation. We truly appreciate your extra support!

Individual Supporter ($60)

Dual ($100)

Founder ($250)

Benefactor ($500)

Choose your desired membership level

Your remaining contribution will be recognized as an added donation. We truly appreciate your extra support!

Individual Supporter ($60)

Dual ($100)

Founder ($250)

Benefactor ($500)

Patron ($1000)

Choose your desired membership level

Your remaining contribution will be recognized as an added donation. We truly appreciate your extra support!

Individual Supporter ($60)

Dual ($100)

Founder ($250)

Benefactor ($500)

Patron ($1000)

Pieter Claesen Society ($2500)

Your Contact Information

If you are renewing or joining for yourself, this will be used as your member information. If you are purchasing a gift membership for someone else, please put your own contact information here. You will have the opportunity to provide the contact info for the giftee(s) later.

Name

*

First Name

Last Name

Email

*

Verify Email

*

Phone

*

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Member Information

Is this a Gift Membership for someone else?

*

No, membership for self

Yes

Is this a renewal?

*

No, this is a new membership

Yes, I'm renewing

Membership Number

if known or easily available

Name of Second Member, in addition to you in same household

First Name

Last Name

Email of Second Member

Verify Email

Do you want to opt-out of gift shop items by mail?

Your membership level includes items from our gift shop. You can opt out of this benefit and make the full contribution a fully tax-deductible donation.

Yes, I'll opt-out

Member Information for Gifts

We will send you a letter acknowledging your gift and providing tax information. We will send the giftee notification of your gift along with their membership card and associated benefits. If you wish to pay for multiple gift memberships, you can either fill this form out again or contact us directly at membership@wyckoffmuseum.org.

Member Name

*

First Name

Last Name

Gifted Member's Primary Email

*

Verify Email

*

Member Primary Phone

Member's Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Name of Second Gifted Member (in the same household)

First Name

Last Name

Secondary Member Email

Verify Email

Anything else you wish to share? Any particular message we should share with the giftee?

Anything else you wish to share?