NEW Fair Lane MEMBER Form

Become a Member

Become part of the Fair Lane family and support the restoration today!
Name*

PrefixFirst NameMiddle NameLast NameSuffix
Email*
Please enter the best email for us to reach you.
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What name(s) should appear on your membership?*
Please note: Membership cards are no longer being issued. You will receive a digital confirmation.
Are you a renewing member?*

YesNo
Is this a gift?*

YesNo
Please provide contact information for the Gift Recipient.

Gift Recipient First NameGift Recipient Last Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Payment Options*

CheckCredit/Debit
Please make checks payable to Henry Ford Estate.

Checks can be mailed to:

1 Fair Lane Drive, Dearborn, MI 48128
Check Amount

Patron - $300Dual - $150Individual - $80Student - $30
Membership Level
prevnext( X )
PatronNEW: This membership is an opportunity for emerging supporters of preservation, automotive, and estate history. Membership is for two named individuals.
$300.00



DualFormerly the Great Meadow Membership. This membership is for two named individuals.
$150.00



IndividualFormerly the Powerhouse Membership. This membership is for one named individual.
$80.00



StudentFormerly the Rose Garden Membership. This membership is for one named individual who is a student, staff, or faculty member at the University of Michigan - Dearborn or Henry Ford College.
$30.00



Total

$0.00

Payment Methods

Debit or Credit Card

First Name

Last Name

Credit Card Number

Card Expiration

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Please click one of the PayPal options to complete payment and submit the form.

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Become a Member