Institutional Membership

Institutional Membership

Yukon Historical & Museums Association
Organization*
Representative Name*

First NameLast Name
Representative Position*
Email*
example@example.com
Email
example@example.com
Mailing Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Billing Address (if different from above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Alternate Phone Number

Area CodePhone Number
Fax

Area CodePhone Number
Send bi-annual newsletters by:*

EmailPost
Send other news and updates by:*

EmailPost
TIA Yukon Membership

Yes, please share our contact information with TIA Yukon to activate our free Affiliate Membership and discount eligibility for Direct Membership, and add us to the TIA Yukon mailing list. For more details on TIA Yukon memberships, visit https://tiayukon.com/become-a-member/.

Membership Type*

Annual budget $50,000 or less

$50CAD

Annual budget $75,000

$75CAD

Annual budget $100,000

$100CAD

Annual budget $125,000

$125CAD

Annual budget $150,000 or more

$150CAD

Total

$0.00CAD

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