Become a member of the Bolinas Museum today! Simply print and complete this form and send it to us:

via fax: 415-868-0607

via U. S. Mail:

Membership
Bolinas Museum
P. O. Box 450
Bolinas, CA 94924

Your name/names___________________________________________________

Street Address______________________________________________________

City________________________________State____________Zip____________

Business Phone______________________Home Phone____________________

Do you work for a business with an employee gift matching program?
Company name and address:

__________________________________________________________________

Please indicate your membership level:

___Individual $25

___Household/Business $50

___Sponsor $100

___Friend $250

___Patron $500

___Benefactor $1,000

___Special Benefactor $2,500 or more

Enclosed is my check payable to: The Bolinas Museum

Please charge my membership to:

Master Card/Visa#_____________________________Exp. Date______________

Signature_____________________________________________________________

___I am interested in being a Docent/Volunteer at the Museum.

___I have items of artistic or historical significance that I would like to donate.

___I am a coastal Marin artist and would like information on the Living Artists Project (LAP)

We thank you for your support!