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Membership Application Form
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$35 Individual
Free Admission to the Museum
Subscription to Newsletter
Invitations to Exhibit Openings
10% discount in Museum Store
Discounted Rates for Programs
$25 Artist, Educator, Senior (65+), Student
Individual Benefits
$50 Family/Dual
Membership benefits are extended to another adult and up to 5 children under 18 years
$100 Collectors' Club
Family/Dual Benefits +
2 Guest Passes for Museum
Free Publication(s)
$250 Connoisseurs' Club
Collectors' Club Benefits +
2 additional Guest Passes for Museum (total of 4)
$500 Curators' Circle
Connoisseurs' Club Benefits +
Private Tour for 6 with Curator
2 additional Guest Passes for Museum (total of 6)
Listing on Wall of Support
$1000 President's Circle
Curators Circle Benefits +
Private Tour for 6 with President
Gift from the Museum Store
Eligibility to use Facility for Event
Listed as Supporter in Newsletter
$2500 Trustees Circle
President's Circle Benefits +
Invitation to Annual Trustee Dinner
Free use of Facility for Event
My Interest are in (check all applicable)
Arts & Culture Exhibition
Natural Science Exhibition
Local History & Heritage
Reading Club
Natural Science Section
Children's Education Programs
Special Events
Spring Teas
Business Awards Luncheon
Annual Fence Show
Exhibition Openings
S.I. Know-It-All Bowl
New Member
Renewing Member
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LAST NAME
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Membership Amount
(tax-deductible to the full extent of the law)
Additional tax-deductible contribution
Total Amount Enclosed
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Experation Date:
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Mail completed form and payment to:
Staten Island Museum
75 Stuyvesant Place
Staten Island, New York 10301
Telephone: 718.727.1135