WMA MEMBERSHIP APPLICATION

Fill out the membership application below, and click submit.

 

     or

 

Click here to download a  membership application. To download Acrobat Reader (free) click on the Adobe logo.

Name:

Title/Discipline

Institution

Address
City State Zip

Telephone (Work) Telephone (Home)

Fax E-Mail

Membership Renewal New Membership

Membership Categories

Individual (Based on Annual Income) Institutional (Based on Annual Operating Budget)

Corporate (non-voting)
Over $45,000 ( $85)
$35,001-45,000 ($70)
$25,001-35,000 ($55)
$20,001-25,000 ($45)
Under $20,000 ($35)
 Student ($25)		 $1,000,000 and over - 5 representatives ($500)
$ 500,000-$999,999 - 4 representatives  ($375)
$250,000-$499,999 - 3 representatives ($250)
 $100,000-$249,999 - 2 representatives  ($125)
 $50,000-$99,999 - 1 representative ($75)
 $0-$49,999 - 1 representative ($40)		 Corporate Patron - 2 representatives  ($275)
 Corporate Member - 1 representative ($150)

If this is an institutional or corporate membership, please indicate names and positions for the appropriate number of representatives (list the primary contact first):

For a link to your website from our exhibitions page, Institutional and corporate members may list a web site here:

PAYMENT OPTIONS:   We accept payment by check or credit card

Payment by Check:  payable to Western Museum Association
Mail your payment to:   WMA, P. O. Box 8367, Emeryville, CA 94662
 

Payment by Credit Card:

CREDIT CARD TYPE VisaM/C  Amex        Exp date
CARD NUMBER
Name as it appears on card

Your application will be confirmed by reply once you submit this form below. If you have questions, please contact Elida Zelaya at elida@westmuse.org.

Welcome to WMA! We look forward to your participation.

Submit this application         Clear entries for this application

Membership Benefits