Historical Museum of Southern Florida
Museum > Membership | Tropees

Membership Application

Print this page, fill it it in (please print), and mail or fax it to:

Historical Museum of Southern Florida
101 West Flagler Street
Miami, Florida 33130-1504
Fax 305-375-1609
Name
Spouse/Companion
Address
  Apt. #
City
State
  Zip
Home Phone
Business Phone
e-mail

We respect your privacy. Please let us know your preference:

I do not wish my name to be included on any list exchange.

Do not call my home for fund-raising purposes.

I do not wish to receive e-mail messages.

Individual - one year

$35

 

Family - one year

$45

Individual - two years

$60

 

Family - two years

$80

Individual - five years

$160

  

Family - five years

$190

Tropee Individual

$35

  

Tropee Family

$50

Payment options:

Personal check, payable to the HASF

Visa/MasterCard

American Express

Card #
  Expiration Date

Cardholder signature

This is a gift of membership from:
Address
City
State
  Zip
Home Phone
Business Phone

Bill me for this gift membership at renewal time.

Bill the recipient of the gift at renewal time.
HISTORICAL MUSEUM
OF SOUTHERN FLORIDA

membership@historical-museum.org
www.historical-museum.org