Membership Form

Step 1: Print out this page and fill out the membership form below.

Step 2: Mail the membership form to the address below with an enclosed check or credit card number or Fax the membership form to the fax number listed below with a credit card number.

Address: The Amarillo Museum of Art, P.O. Box 447, Amarillo, Texas 79178

Fax: (806) 373-9235

If you have questions please contact us by phone (806) 371-5050 or e-mail: amoa@actx.edu

I wish to become/remain a member of the Amarillo Museum of Art.
Please enroll me in the category checked below.

New Member

Renewal

Gift

Membership Categories:

Benefactor

$1000.00

Sponsor

$500.00

Patron

$250.00

Contributor

$100.00

Family

$50.00

Name

Address

City

State Zip

Home #

Work #

Gift For

My check, payable to the Amarillo Museum of Art is enclosed.
Please bill my credit card:

VISA

MasterCard

Acct. Number Exp. Date
Signature _____________________________________

Tax Deductions:
Membership contributions above $35 are fully tax deductible for Family, Contributor, and Patron categories of membership. Sponsor and Benefactor contributions of $500 and above are deductible for the amount of contribution above $50.