Membership Signup Form

Museum Membership Application

To apply for membership please complete all questions.
Membership *

New Renewal
Name *

First Name Last Name
Spouses Name

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
E-mail
Home Number *

Area Code Phone Number
Cellular Number

Area Code Phone Number
Signature *

Clear
Signature date *
My Products
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General membership $ 30.00
General membership good for 1 year includes wife and children under age of 18 - OPTIONS: postal delivery adds $5.00

Newsletter option

International Membership $ 30.00
International membership good for 1 year includes wife and children under age of 18. NOTE! Newsletter delivered by E-Mail only

Lifetime Membership $ 300.00
General membership good for a lifetime includes wife and children under age of 18

Endowing Life Membership $ 1,000.00
General membership good for a lifetime includes wife and children under age of 18

Total $ 0.00
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