The University of Arizona
 

ASM Membership / Friends of the ASM Collections Sign Up

Print this web page, complete the form and mail it to:
Darlene Lizarraga
Membership Office
Arizona State Museum
P.O. Box 210026
Tucson, AZ 85721-0026

To join by phone with your credit card handy or for more information call Darlene Lizarraga at 520-626-8381.

Email Darlene Lizarraga

You may fill out most of the form online before printing, if you wish. Click on a line and type; tab between lines. Please add credit card information and signature to the printed copy before mailing.

Name:
Address:
City, State, Zip:
Phone:
Email Address:
Arizona State Museum Membership:
Membership Category: Associate ($30) *
Individual ($40)
Family ($60)
Patron ($125)
Thompson Circle ($250)
Haury Circle ($500)
Cummings Circle ($1,000)
George W. P. Hunt Heritage Circle ($1,500)
  Add Smithsonian Affiliation ($17)
  * Associate members, please indicate your affiliation:
Friends of the ASM Collections Membership:
(You must first be a Member of ASM to join the Friends of Collections)
Please Choose One: I am already a member of Arizona State Museum and just want to add a membership to the Friends of the ASM Collections
I want become a member of both the Arizona State Museum and the Friends of the ASM Collections (My desired ASM membership level is shown above.)
Friends Category: Single ($100)    Couple ($150)
Payment:
Total Amount:
Check: (payable to "UA Foundation/ASM")
Credit: Visa    Mastercard AMEX
Card Number:
Expiration Date:
Signature:

If at a public computer, be sure to clear the form after printing.