Cleveland Museum of Natural History

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Please fill out this form and submit it to:

Membership
The Cleveland Museum of Natural History
1 Wade Oval Drive
Cleveland, OH 44106

Make checks payable to
The Cleveland Museum of Natural History

Gift Membership Form

Member Information

Recipient

	Member's Name

	Spouse/Other Adult

Street	Apt./Suite

City	State	ZIP

Home Phone	Email

Membership Category

Senior ($40)
Individual ($55)
Senior/Couple ($55)

Family/Couple ($75)
Family Plus ($95)
Nature League ($85)

Friend ($150)
Associate ($250)
Mentor ($500)

Gift Giver

	Giver's Name

	Spouse/Other Adult

Street	Apt./Suite

City	State	ZIP

Home Phone	Email

Send Gift To

Recipient Gift Giver

Personal Gift Message
(optional)

Payment

Use the button below to pay with your credit card through our online store.

If you wish to pay by check, you will have to print this form and mail it, along with your check, to:

Membership
The Cleveland Museum of Natural History
1 Wade Oval Drive - University Circle
Cleveland, OH 44106