Membership Application (Printable Form)

I would like to join or renew my membership with the Friends of MHAM
As you Renew, please consider upgrading your membership. Thank you.

New Member Renewal

Name__________________________________________________

Address________________________________________________

City_______________________State_________Zip_____________

Phone__________________________________________________

$5 Student (21 and Under)

$25 Family/Individual

$50 Business/Substaining

$100 Contributing

$250 Supporting

$500 Patron

$2000 Life Memberships

Please make checks or money orders payable to: Friends of MHAM

Mail to: Margaret Harwell Art Museum, 421 N. Main St., Poplar Bluff, MO 63901

Your membership is tax deductible to the extent permitted by law. Memberships also make nice gifts.

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