MEMBERSHIP

To become a member of Maryhill Museum of Art please complete this form. You may pay your membership dues online. Payment transactions are handled securely through PayPal.

If you prefer not to complete the payment transaction online, you may print this form and enclose payment for the level of membership described below and mail it to: Development Director, Maryhill Museum of Art, 35 Maryhill Museum Drive, Goldendale, WA 98620.

Membership categories:
Individual $50	Young Adult $35	Age*:
Family $75	Sponsor $100
Patron $250	Sustaining $500
Benefactor $1,000	* required for Young Adult category

I decline monetary benefits associated with my renewal, making my gift fully tax-deductible.

I wish to make an additional gift in the amount of $

 

Is this a gift membership?

Yes

No

New Member Information
(if completing the transaction online your billing address will be requested separately)

New Member Name:
Prefix	First	MI	Last	Suffix
Second Cardholder (for Family or Premier):
Third Cardholder (for Family or Premier):
Fourth Cardholder (for Family or Premier):
Fifth Cardholder (for Family or Premier):
Sixth Cardholder (for Family or Premier):

New Member address:
Mailing Address
City	State	ZIP	Country
Home Phone		Work Phone
email*
*An email address is necessary for confirmation of your membership by email (as well as by USPS mail) and for your subscription to Maryhill Magic eNews. You may decline by leaving this field blank

 

Gift Presenter Name:
Prefix	First	MI	Last	Suffix

Gift Presenter address:
Mailing Address
City	State	ZIP	Country
Home Phone		Work Phone
email

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