Membership form:

Please enroll me as a Member of The Museum of Automobiles in the                                Membership Classification.

Membership Classifications:

• Member. . . . . . . . . . . . . . $    25.00
• Participating . . . . . . . . .  $    35.00
• Friend . . . . . . . . . . . . . .   $    50.00
• Associate . . . . . . . . . . .   $   100.00
• Sustaining . . . . . . . . . .   $   250.00
• Contributing . . . . . . . .   $   500.00
• Patron . . . . . . . . . . . . .    $1,000.00

Memberships contributions are Tax Deductible to the extent provided by law.

Name                                                                    

Address                                                                

City                            State                Zip                   

Date                             

Signature                                                              

or

You may authorize credit card donations by completing the following:

Charge my gift to [ ]Mastercard  [ ]Visa  [ ]AmEx   [ ]Discover

____________________   $___________   ____/____   ___________**

Credit Card Number               Amount               Exp. Date    Security Code

____________________   _________________________  __________

Name on Card                       Signature                                          Day Phone

Indicate one by circling:          

        This is a one time gift    

         You may debit my credit card [ ] Monthly  [ ] Quarterly  [ ] Annually

**Visa/MC/Discover:3 digits on back of card/Am Ex:4 digits on front of card

Print,{ to print hit Ctrl "P"} complete and return to :

[ Home ] [ Gift Shop ] [ Cars For Sale ] [ Membership ] [ History ] [ Board Members ] [ Director ] [ Challenge Grant ] [ Cars on Exhibit ] [ Trust Fund ] [ Fall Swap Meet ] [ Calendar of Events ] [ Hours & Rates ] [ Links ]

This site created and maintained by The Museum of Automobiles, Inc. September 2000.  For Questions or Comments  Please contact the Webmaster.