National Lighthouse Museum - Membership & Smaller Donations Form

Membership & Smaller Donations Form

Your support at this time will help us develop America's finest maritime museum.

Complete the form below. Print it and mail it with your check payable to:
                                            Membership/Donations
                                            National Lighthouse Museum
                                            One Lighthouse Plaza
                                            Staten Island, NY 10301

Sorry, at the present time, we are unable to accept credit card payments online.

Name:
Address:
City, State, Zip:
Phone:
Business Phone:
E-mail:

Membership Types (check one)

$25 Charter Member

$50 Family Member

$100 Supporting Member

$250 Patron

$500 Corporate or Sustaining Member

$1000 & above Benefactor

Smaller Donations
Any donation is most welcome. Your support will help get the National Lighthouse Museum underway.

Total enclosed $

Please make check payable to: National Lighthouse Museum

Mail your check together with a print out of this page to:    Membership/Donations
                                                                                     National Lighthouse Museum
                                                                                     One Lighthouse Plaza
                                                                                     Staten Island, NY 10301