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To become a member, please print this form, fill it out and mail it to us (The museum's address is at the bottom of the form).
Please check one: _____ New Member _____ Renewing _____ New Address
| Name |
________________________________________ |
| Street |
________________________________________ |
| City/State |
_________________________ |
Zip |
__________ |
| Phone |
_________________________ |
| E-mail |
______________@________________________ |
Do you wish to be a museum volunteer? _____Yes _____No
Check enclosed for $_______________
(Make payable to The Chapel Hill Museum)
Credit Card (Visa___ MC___ ) # ___________________________________
exp. date __________________
Please indicate the level at which you'd like to join:
| Individual |
$35 |
_____ |
Family |
$60 |
_____ |
| Advocate |
$250 |
_____ |
Benefactor |
$500 |
_____ |
Patron |
$1000 |
_____ |
Please send this form and your tax-deductible contribution to:
The Chapel Hill Museum
523 East Franklin Street
Chapel Hill, NC 27514
Please feel free to contact us with any questions.
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