Membership Payment Test MUSEUM MEMBERSHIP FORM Name of Member or Affiliate *Address *Email *Phone *Select Category *Please select an optionIndividual - $80 per yearDual - $100 per yearFamily - $150 per yearArtist Affiliate - $200 per yearSecond Person's Name (For dual and family membership)Second Person's Address (For dual and family membership)Second Person's Email (For dual and family membership)Second Person's Phone no.(For dual and family membership)Child 1 NameChild 2 NameChild 3 NameChild 4 NameRegistering more than 4? (yes or no) If yes, we will contact you.YesNoMessage SUBMITPlease do not fill in this field.
