Join MAM

Please fill out your information in the form below and click the Continue button. Select Membership Type I am a new member. I am renewing my membership.  Appeal Code I am giving the gift of membership. Select Membership Level $2500 + Museum Circle $125 Sustaining $1000 Friends $75 Family   Number of children in household $500 Supporting $60 Dual $250 Contributing $45 Individual I qualify for a senior (60+)/student (with ID) special rate $45 Dual Senior $35 Individual Senior $45 Dual Student $35 Individual Student I would like to join MAM Contemporaries. Please add an additional (select one below) to my total $100 for a Individual $200 for a Couple

With your choice of Membership Level you have the option of including an additional person to receive membership Yes   No Click here for second member information section.

Primary Member Information

Title Mr. Mrs. Ms. Miss. Dr. Choose one

First Name Last Name Birthday: Select a Month January February March April May June July August September October November December   ,  Address 1 Address 2 City State Zip Country Home Number Ex. 305-555-1234 Cell Number Ex. 305-555-1234 Fax Number Ex. 305-555-1234 Email May we send you information on programs/events via e-mail? yes no

Secondary Member Information Title Mr. Mrs. Ms. Miss. Dr. Choose one First Name Last Name Birthday: Select a Month January February March April May June July August September October November December   ,  Relation to primary member  Ex. husband, wife, sister, son, friend, etc. Phone Number Ex. 305-555-1234 Email May we send you information on programs/events via e-mail? yes no

Billing Information

Same as Member Information above Title Mr. Mrs. Ms. Miss. Dr. Choose one First Name Last Name Address 1 Address 2 City State Zip Country Home Phone Ex. 305-555-1234 Cell Number Ex. 305-555-1234 Fax Number Ex. 305-555-1234 Email Send Renewal to (if this is a Gift Membership) Recipient Me Notes If you have any special requests or additional contact information that you would like us to enter into your membership record please use the text area below to send us your notes or questions.