Gift Membership
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Your Name
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Your Address
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Your Telephone
Membership gift to :
______________________________________________________________
Name______________________________________________________________
Address______________________________________________________________
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Telephone
| ___ $35 Individual ___ $45 Family/Dual ___ $25 Senior ___ $25 Students |
___ $100 Sustaining ___ $250 Supporting ___ $500 Patron ___ $1000 Life ___ $1500 Family/Dual Life |
___ Please send a gift membership acknowledgment card to me so I may personally present it
___ Please send a gift membership acknowledgment card directly to the new member.___ 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 02360Have a question? e-mail us at director@pilgrimhall.org