Membership Form

----- please print and mail this form -----

2253 North Broad Street
Philadelphia, PA 19132

Phone: (215) 787 - 0220
Fax: (215) 787 - 0226

Annual Membership
As a Member of the Philadelphia Doll Museum, you join with others who share an appreciation of history and culture through dolls.

Basic Membership Benefits
Free Admission for one year
Discounts at the Museum Gift Store
Invitations to Exhibitions Openings, Special Events and Programs
Research and Library Privileges

Organization Membership
Basic Membership Benefits PLUS�
25 guest passes for Corporation
Rental discount of facilities

____ Yes, I wish to become a Member of the Philadelphia Doll Museum
( ) $25.00 Basic Membership
( ) $10.00 Basic Membership Senior
( ) $5.00 Student Membership w/ID
( ) $40.00 Basic Family Membership
      2 Adults and 4 children under 18
( ) $200.00 Organization Membership
( ) $500.00 Corporate Membership

Name: ______________________________

Organization: ______________________________

Address: ______________________________

              ______________________________

City: ____________________ State: __________ Zip: __________

Membership Category: ______________________________

----- please print and mail this form -----