Please print and fill out this form and send to:
New Bedford Whaling Museum
18 Johnny Cake Hill
New Bedford, MA 02740

I/We would like to become a member of the New Bedford Whaling Museum


PLEASE CHECK ONE
Student $10
Individual $30
Dual $45
Family $60
Associate $100
Friend $250

Please Print

NAME [MR.][MRS.][MS.] please circle

 

STREET

 

CITY / STATE / ZIP CODE / COUNTRY

 

SEASONAL ADDRESS

 

CITY / STATE / ZIP CODE / DATES (from-to)

 

DAYTIME PHONE / EVENING PHONE

 

E-MAIL

 


Please send a gift membership to:

NAME [DR.][MR.][MRS.][MS.] please circle

 

STREET

 

CITY / STATE / ZIP CODE / COUNTRY

 

DAYTIME PHONE / EVENING PHONE

 

E-MAIL

 

MEMBERSHIP CATEGORY
I would like this gift to be compliments of:

 


Please send renewal notice of this gift membership next year to:
Recipient
Me

Payment
Enclosed is my check payable to the NBWM
Charge to my:
Visa Discover
MasterCard AmEx

CREDIT CARD NUMBER

 

SIGNATURE / EXP. DATE

 

1

Enclosed is my employer’s matching gift form

I would like information on Museum volunteer opportunities

I would like information on renting the Museum for a special event