Patrons

Product Description

Membership Type
Your Patronage/Membership
Your Patronage/Membership
All membership fees are inclusive of GST.
All donations over $2 are tax deductible.
All donations to the Museum are published in our yearbook with donor name and donation amount.
Anonymous Donation Patron
- Click here if you would prefer your donation to remain anonymous.
This membership includes $35 membership fee. Balance is tax deductible.
Total
$ 0.00
Your donation amount
Optional Donation Amount (In addition to membership fee)
All donations to the Museum are published in our yearbook with donor name and donation amount.
Anonymous Donation
- Click here if you would prefer your donation to remain anonymous.
Your Details
Name*
Prefix First Last
Email*
Home Phone
Mobile
Address
Country Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Date of Birth
Spouse / Partner Details
Please enter the details of your spouse/partner (for patron, benefactor, family concession couples)
Spouse / Partner Name
First Last
Spouse / Partner Email
Spouse / Partner Phone
Spouse / Partner Date of Birth
Hidden
Total
$ 0.00

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