NWHM Printable Charter Membership Form
Join As:
___Charter Member ___Renew Membership ___Gift Membership
To see Membership Benefits, click here. To donate online, click here.
or fill out the form below and mail it with your check (payable to NWHM) or credit card information to:
National Women's History Museum
205 S. Whiting Street, Suite 254
Alexandria, VA 22304
___My check for $_____ is enclosed.
___Please bill my American Express / MasterCard / Visa / Discover credit card:
Account #_________________________________________ Exp. date_________
Signature __________________________________________________________
My information:
Mrs. / Ms. / Miss / Mr. / Dr.
Name _____________________________________________________________
Address ___________________________________________________________
City __________________________ State ________ Zip_____________
Home Phone ___________________________ E-mail _____________________________________
___This is a gift for:
Mrs. / Ms. / Miss / Mr. / Dr.
Name _____________________________________________________________
Address ___________________________________________________________
City __________________________ State ________ Zip_____________
Home Phone ___________________________ E-mail _____________________________________
___Charter Member ___Renew Membership ___Gift Membership
___$25 (Student) ___$35
___$50
___$100
___$250
___$500
___$1,000 (Leadership Circle)
___$10,000 (President's Advisory Council)
___Other $_____
To see Membership Benefits, click here. To donate online, click here.
or fill out the form below and mail it with your check (payable to NWHM) or credit card information to:
National Women's History Museum
205 S. Whiting Street, Suite 254
Alexandria, VA 22304
___My check for $_____ is enclosed.
___Please bill my American Express / MasterCard / Visa / Discover credit card:
Account #_________________________________________ Exp. date_________
Signature __________________________________________________________
My information:
Mrs. / Ms. / Miss / Mr. / Dr.
Name _____________________________________________________________
Address ___________________________________________________________
City __________________________ State ________ Zip_____________
Home Phone ___________________________ E-mail _____________________________________
___This is a gift for:
Mrs. / Ms. / Miss / Mr. / Dr.
Name _____________________________________________________________
Address ___________________________________________________________
City __________________________ State ________ Zip_____________
Home Phone ___________________________ E-mail _____________________________________
