PTM Membership Form

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Name*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email*
MUSEUM MEMBERSHIP LEVELS*
- Student - $23
- Individual - $46
- Dual/Couple - $60
- Ohana - $75
- Friend of PTM - $150
- Patron - $250
- Benefactor - $500
- Visionary - $1,000+
Donation

I’d like to donate an additional amount to PTM!
Total
$0.00