Membership Application

Membership Application

Cranbrook Archives, Museum and Landmark Society
Name*

First NameLast Name
Email*

Confirmation Emailexample@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you applying for more than one adult?*

YesNo
Other Adult Information

First NameLast Name
Email

Confirmation Emailexample@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Choose Your Membership

Adult Membership

$35.00CAD Quantity

Senior Membership65+

$20.00CAD Quantity

Studentwith valid student ID

$15.00CAD Quantity

Family 2 adults & children of the household between 6-18

$75.00CAD

Single Parent Family1 adult & children of the household between 6-18

$45.00CAD

Total

$0.00CAD

Credit Card

Should be Empty: