Raleigh City Museum Membership Form

Name __________________________________________________________ Address _______________________________________________________ _______________________________________________________________ City _________________ State _______ Zip _________ Daytime phone ___________ Evening phone ____________ Email address ___________ Fax phone ____________ [ ] Matching Gifts form enclosed. [ ] Please send me volunteer information. [ ] Please send me artifact donation information. [ ] I am enclosing my check/money order payable to the       Raleigh City Museum. [ ] Charge my membership fee to: ___ VISA ____ MasterCard Account # _______________ Expiration Date ____ / _____ Signature _____________________________ If paying by check or money order, please mail to: Raleigh City Museum Briggs Building, 220 Fayetteville St Mall Suite 100 Raleigh NC 27601-1310 If paying by credit card, you may fax this form to: 919/832-3085.