Pasadena Museum of History: Membership

Please check one

New Member:
Former Member:
Renewing:
Gift Membership:
Member’s Name (as it should appear on membership card):*
Address:
City:
State:
Zip Code:
Telephone Number:	- -
E-mail:*

Membership Categories (please check one):

$2,500 Distinguished Founders:
$1,250 Founders Circle:
$500 Patron:
$250 Donor/ $300 Business Sponsor:
$125 Sponsor:
$75 Friend:
$50 Active:
$25 Textile Arts Council – Sterling Needle:

Membership Dues:
Gift Membership:
Additional Contribution:
Total Amount Enclosed:

Please send me information about:

Renting the facility:
Volunteer opportunities:
Planned giving:
Gift memberships:

Gift Membership?

Please complete the Membership Application in the name of the new member. In addition, please provide us with your name, address and phone number (below) so that we can contact you if there are questions.

Gift from:

Your Name:*
Your Address:
City:
State:
Zip Code:
Telephone Number:	- -

Please send Membership card to:

Me:
Recipient:
Please type out the generated letters EXACTLY as they are shown. Reload	Leonora Muse Curtin by Benjamin C. Brown


470 West Walnut Street ~ Pasadena, CA 91103 ~ Ph 626.577.1660 ~ Fax 626.577.1662 ~ info@pasadenahistory.org