American Friends of the Shanghai Museum: Professional and Young Friends Membership Form

Professional & Young Friends Membership Application

YES, I wish to support the American Friends of the Shanghai Museum.

Please enroll me in the PROFESSIONAL & YOUNG MEMBERS Program.

My current position is:

Check for $250 is enclosed.
(Make checks payable to American Friends of the Shanghai Museum)

I am making an additional contribution of $
to the American Friends of the Shanghai Museum.

NAME

ADDRESS

CITY, STATE, ZIP CODE AND COUNTRY OF RESIDENCE

PHONE

FAX

EMAIL ADDRESS

Please print and return this form to:
American Friends of the Shanghai Museum
1115 Fifth Avenue, New York, NY 10128
phone & fax: 212-861-7799

EIN# 13-3813924