Membership Form | Michigan Maritime Museum

Membership Type

Type*

Membership Level*

The Museum offers a variety of membership levels. Please choose from one of the following.

Member Name*

First Last

Second Member Name (Senior Couple and above)

First Last

Email

Enter Email Confirm Email

Second Email

Enter Email Confirm Email

Contact Phone Number*

Primary Address

Street Address Address Line 2 City State ZIP Code

Donor Name (Gift Membership)

First Last

Additional Gift

$ Amount

Billing Address

Use Primary Address

Street Address Address Line 2 City State ZIP Code

Total

$0.00

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

CAPTCHA

Phone

This field is for validation purposes and should be left unchanged.