Membership Dues:

Non-Profit Gallery/Museum
Budget under $50,000 $50___
Budget over $50,000 $75___

Individual Dues $35___

Partner $150___

 

Name:____________________________________________

Institution:_________________________________________

Address:__________________________________________
_________________________________________________

Telephone:________________________________________

E-mail:___________________________________________

Contact Person: ___________________________________

 

Please print form and mail with check to:
VMGA
c/o Lake Champlain Maritime Museum
4472 Basin Harbor Rd.
Vergennes, VT 05491