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Miami Art Museum

about MAM

museum park

join us

ways to give

get MAM news

seen at MAM

the MAM store

press

Please fill out your information in the form below and click the Continue button.

Select Membership Type

	I am a new member.
	I am renewing my membership. Appeal Code
	I am giving the gift of membership.

Select Membership Level

$2500 + Museum Circle

$125 Sustaining

$1000 Friends	$75 Family
	Number of children in household

$500 Supporting

$60 Dual

$250 Contributing

$45 Individual

I qualify for a senior (60+)/student (with ID) special rate
$45 Dual Senior	$35 Individual Senior
$45 Dual Student	$35 Individual Student

I would like to join MAM PARTNERS. Please add an additional (select one below) to my total
$100 for a Individual	$200 for a Couple

Primary Member Information

Title

First Name

Last Name

Birthday:

Address 1

Address 2

City

State

Zip

Country

Home Number

Ex. 305-555-1234

Cell Number

Ex. 305-555-1234

Fax Number

Ex. 305-555-1234

Email

May we send you information on programs/events via e-mail? yes no

Billing Information

Same as Member Information above

Title

First Name

Last Name

Address 1

Address 2

City

State

Zip

Country

Home Phone

Ex. 305-555-1234

Cell Number

Ex. 305-555-1234

Fax Number

Ex. 305-555-1234

Email

Notes

If you have any special requests or additional contact information that you would like us to enter into your membership record please use the text area below to send us your notes or questions.