YES! I want to be a Member of the Marin History Museum

MHM Membership:        o   I wish to become a member.

                                          o   I wish to renew my membership.

                                          o   I wish to give the gift of membership. (Please fill out bottom of form)

 

Membership Level:         o   $20 Discounted Individual

                                          o   $30 Individual

                                          o   $50 2 for 1 Individual

                                          o   $65 Family

                                          o   $100 Contributor

                                          o   $250 Supporter

                                          o   $500 Patron

                                          o   $1000 Benefactor

Title:                        Name:                                                                                                               

 

Company:                                                                                                                                         

 

Address:                                                                                                                                           

 

City:                                                                                  State:                Zip:                               

 

Home Phone:                                                             Work Phone:                                                 

 

E-mail:                                                                                                                                             

 

How did you hear about MHM?                                                                                                        

The Marin History Museum is a 501(c)(3) nonprofit organization.

 

Payment:    Enclosed is my check payable to: Marin History Museum

 

Send to:
Marin History Museum
1125 B Street
San Rafael, CA 94901

OR

                     Please charge my Visa/MasterCard in the amount of $                                              

                    
Name:                                                                                                                         

                    
Card #:                                                                            Exp. Date:                            

                    
3-4 digit number on back of card:                                                                                

                    
Signature:                                                                                                                   

If paying by credit card, you may fax this form to: (415) 454-6137.

The Marin History Museum is a 501(c)(3) nonprofit organization.

 

Give the Gift of Membership
A welcome letter acknowledging your gift will be sent with the gift membership.

Gift Recipient's Name:                                                                                                                     

 

Address:                                                                                                                                           

 

City:                                                                                  State:                Zip:                               

 

Home Phone:                                                             Work Phone:                                                 

 

E-mail: