Spellman Museum of Stamps and Postal History Membership Form

Mail completed form to:

Spellman Museum 235 Wellesley Street Weston, MA 02493 USA

Membership Level:(Check One)
National Associate (150 miles from Weston, MA)		$35.00
Student (age 16 and under)		30.00
Individual		40.00
Household		75.00
(2 adults and any number of children 16 and under. This category works for Grandparents!)
Participating		100.00
Sustaining		150.00
Contributing		250.00
Sponsor		500.00
Benefactor		1000.00

Add to your support of the Spellman Museum through your company's matching gift program. Just send the matching gift form, available through your company's human resources department, along with your membership contribution.

Name:
Address:
City:
State:	Zip:
Phone:
Email:

Program/Project Support
I wish to target my gift. Please use my contribution to:
develop interdisciplinary, curriculum based programs for elementary-aged children.
continue to develop and promote programs for elders in assisted living facilities.
design and install exhibitions that utilize interactive technology to engage those of all ages in the opportunities to learn about the world cultures through stamps and postal history.
enhance the research capability of the library and care of the philatelic collection.
	Gift: $25.00 $50.00 $100.00 Other:

Payment Info
Check Enclosed	Bill my Credit Card: American Express, Discover, Master Card, or Visa Card No:                                                                Expires:                   Security Code: