RIMOSA Membership Sign Up Form
Name of primary contact person
First Name
Last Name
Email address
example@example.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please choose the number of admissions to be included in your membership
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Museum Membership
Unlimited visits for this many visitors for one full year!
$
25.00
Number of admissions
2
3
4
5
6
7
8
9
10
Credit Card
Submit
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