Membership Signup Form

NewRenewal

Name*

First NameLast Name

Spouses Name

First NameLast Name

Address*

Street Address

CityState / Province

Postal / Zip CodeCountry

E-mail

example@example.com

Main Phone*

Home Phone

Second Number

Home Phone

Signature date*

My Products

Annual General Membership

Email is free ... Postal Mail is an extra $5

$35.00 Print size
Item subtotal:$0.00

Annual Family Membership

Includes wife and children under age of 18. Email is free ... Postal Mail is an extra $5

$65.00
Item subtotal:$0.00

Annual Supporting Member

Email is free ... Postal Mail is an extra $5

$105.00
Item subtotal:$0.00

Senior Lifetime Membership (age60)

Membership good for a lifetime includes wife. Email is free ... Postal Mail is an extra $5

$355.00

Lifetime Membership

Membership good for a lifetime includes wife

$500.00

Supporting Lifetime Membership

Membership good for a lifetime includes wife

$1,000.00

Endowing Lifetime Membership

Membership good for a lifetime includes wife

$2,500.00

Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Museum Membership Application