315 E. Warren
Detroit, MI 48201-1443

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Super Sellers Membership - Join Us!

Our membership goal is 20,000 by June 30, 2006.  With your support the museum will receive a $500,000 Challenge Grant from The Kresge Foundation. 
Please print and mail with your check or money order or submit credit card payments online using our Secure Encrypted Site.  Click here to learn more about
our Super Sellers Challenge.

Click here for member benefitsGet Adobe Reader  For additional membership and giving opportunities, please call (313) 494-5827 or (313) 494-5853.

*First Name  
Add'l Names
*Last Name  
Middle Initial
Work Phone
Home Phone
E-mail  
Category Annual Dues
Student (ages 5-17) $5.00
Senior Citizen (ages 62 and over) $15.00
Individual $35.00
Family $65.00
Contributor $150.00
Supporter $500.00
Partner $1,000.00
Solicitor's Name:    
Additional Donation: $
Total Amount: (please total your order) $

For multiple memberships, reset form and submit each one separately.

BILLING

Credit Card

    Other
*Cardholder Name  
*Card Number  
*Expiration Date   ex. 01/01/07

SHIPPING
*Street Address  
*City  
*State/Province  
*Zip/Postal Code

 

* Indicates Required Field

  


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Charles H. Wright Museum of African American History. All rights reserved.

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