Join Us

 

“P-r-r-r” Over and

   Join the Museum!

Membership Form

Name: ______________________________________________

Address: ____________________________________________

City, State & Zip Code: ________________________________

Email: ___________________ Phone Number: _____________

Membership Levels

Individual: ___Student Membership (Up to        22 with college ID) $15 ___Senior Membership (65+) $25   Household: ____Basic: $50-$99 ____Snowbird: $40-$99

Supporting: ____$100-$249 ____$250-$499 ____$500-$999

  

____ I don’t want to be a member, but I would like to

give a donation of $_______________

 

 

VISA_______ MC_______ Discover_______

 

Number:______________________ Expiration: _____

 

Signature:____________________________________

 

Thank you for your generosity!

 

3250 South Kanner Highway, Stuart, FL 34994