METC MEMBERSHIP REGISTRATION

______ NEW _____ RENEWAL
____ Individual: $30
____ Family: $50
____ Patron: $100 or more*
* Patron contribution $________

NAME(S) _______________________________________________
(as it will appear in all listings)

ADDRESS ______________________________________________


CITY/STATE/ZIP _________________________________________


PHONE (______)_________________________________________


E-MAIL ________________________________________________
[] check here if you would like to receive Museum information by email


____Check for $_________________ payable to "METC"

____ Mastercard ____ Visa

Account # ________________________________Expires ____/____/____

Signature ___________________________________________________

____ I have enclosed a matching gift form
____ I am interested in volunteering

Print out this page, then complete the form and return with payment to:

Museum of Early Trades & Crafts
9 Main Street
Madison NJ 07940