Pensacola Museum of Art Membership Form

□ Student $15
□ Individual $40
□ Family/Dual $75
□ Donor $100
□ Sustaining $250
□ Patron $500
□ Benefactor $1000
□ Corporate Membership


 

Name:___________________________________________________________

Address:_________________________________________________________

City:________________________________State:___________ Zip:_________
                               
Telephone (Home):______________________(Office)_____________________
                 


If charging by □Visa □ Master Card

_____________________________________ __________________________
Credit Card Number                                                     Exp. Date


Make checks payable to PMA and return this form to:
Pensacola Museum of Art
South Jefferson Street
Pensacola, Florida 32502


A portion of annual membership dues may be considered a tax-deductible donation.