Please enable JavaScript in your browser to complete this form.Personal InformationName *Address *City *Province *ABBCMBNBNLNSNTNUONPEQCSKYTPostal Code *PhoneEmail *Membership Infonew/renewal *New MembershipRenewalYour Membership expiresMembership Type *Museum & Art CentreMembership Options *Individual $45 (tax incl)Family $75 (tax incl)Patron $150Institutional $200Sustaining $200-$499Sponsor $500-$999Benefactor $1,000.00 and overSustaining $200-$499 *Sponsor $500-$999 *Benefactor $1,000.00 and over *In addition to my membership fee, I would like to make a tax deductible donation in the amount of and I Code Payment TypeCredit CardCredit Card *Card NumberSecurity CodeName on CardExpirationMM123456789101112/YY2425262728293031323334Gateway FeeTotal$0.00Income tax receipts will be issued for donations for Patron level memberships and over less the value of a family membership **CRA regulations **.volunteerI would like to volunteer.email communicationI agree to receive email communication from The MuseEmailSubmit
