Print this form, fill it out, and fax it in. Membership Enrollment and Renewal Form Benefits of Membership: Member discounts for special classes and events Free admission for members and a guest to all Museum lectures and opening receptions for exhibits. Member discounts on purchases in the Museum Gift Shop. Member Information: Member Name: _____________________________ Address: ___________________________________ City: ______________ State: ______ Zip: ________ Phone: ______________________________________ Email if you want program news: __________________ Membership Status: _______ New _______ Renewal Membership Classifications: _______ Gutenberg Society: $1000 _______ Patron: $500 _______ Sponsor: $250 _______ Friend: $100 _______ Family: $60 _______ Individual: $35 _______ Student: $20 _______ Senior: $20 Form of Payment: _______ Cash _______ Check _______ Credit Card American Express ________________ expiration: _____ Discover ________________________ expiration: _____ Visa/MasterCard _________________ expiration: _____ *Organization Memberships also available