YES! I want to be a Member of the Marin History Museum.
Memberships renew annually in July.
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.
Membership
Level:
o $10 Student (18 & under)
o $30 Friend
o $50 Contributor
o $100 Supporter
o $250 Sponsor
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?
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:
Payment: Enclosed is my check payable
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:
Signature:
If paying by credit card, you may fax this form to: (415)
454-6137.