Membership Application
______________________________________________________________
Name
______________________________________________________________
Address
______________________________________________________________
______________________________________________________________
Telephone
| ___ $35 Individual ___ $45 Family/Dual ___ $25 Senior ___ $25 Student |
___ $100 Sustaining ___ $250 Supporting ___ $500 Patron ___ $1000 Life ___ $1500 Family/Dual Life |
___ My check is enclosed
___ Please charge the total of $____
to my ___Visa ___Mastercard ___AmexAccount Number ___________________________
Expiration Date ____________________________
Signature _________________________________
Mail to :
Pilgrim Hall Museum
75 Court Street
Plymouth, MA 02360
Have a question? e-mail us at pegbaker@pilgrimhall.org