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Membership Application/Renewal
Contact Information
Name
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First Name
Last Name
Email
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Address
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Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
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Membership
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$750
-
Lifetime
$30
-
Individual
$45
-
Family
$7.50
-
Student
$20
-
Volunteered 20+ hrs in previous year
$15
-
Associate (Member of a Partner Museum)
$22.50
-
Associate Family (Member of a Partner Museum)
Additional Donation
$500
$250
$100
$50
$25
$
I'd like my donation/gift to go towards:
*
Westside Bathrooms
Wherever the need is greatest
Holiday Sparkles Drive-thru
Please send newsletter via email!
*
Yes
No
I'd like to Volunteer - Please call me!
*
We're always looking for help with general maintenance, landscaping, office help, workdays, Steam-Up & other things!
Yes
No
Add 3% to my total amount to help cover the payment processing fees
