Membership Application Form
Apply for or renew your membership. Please complete all required fields. An invoice will be emailed once the form is submitted.
Membership Type
*
Please Select
New Member
Existing Member
First Name (Member 1)
*
Last Name (Member 1)
*
First Name (Member 2)
Last Name (Member 2)
Mailing Address
*
City
*
State
*
Zip Code
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Phone Type
Please Select
Home
Cell
Email Address
*
example@example.com
I would like to become a Great Volunteer for the Museum
Yes
I would like to receive my newsletter, meeting minutes and/or meeting notices by email
Yes
Description of Items
Item Types
Books, Records, Publication
Artifacts or Objects
Photographs
Art
Other
Dues ($20.00 per person listed)
Donation
Total Amount
Submit Application
Should be Empty: