Join
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.
