university of oregon title graphic university of oregon museum of art homepage link renovation link collection link education link membership link news link university of oregon link contacts link site map link
museum of art title graphic membership header graphic
membership header graphic membership: becoming a member membership: support link

BECOME A MEMBER

JORDAN SCHNITZER MUSEUM OF ART
CHARTER MEMBERSHIP APPLICATION


Name (As you would like it to appear in printed material):
________________________________________________
Additional Name (Two-card memberships only):
________________________________________________
Street___________________________________________
City State Zip____________________________________
Phone___________________________________________
Email____________________________________________

Gift Membership
Please send this membership as a gift to:
Recipient's Name__________________________________
Street___________________________________________
City State Zip____________________________________
Phone___________________________________________
Email____________________________________________
Gift Card Message_________________________________
________________________________________________

Membership Levels
__Director's Circle-$1,000
__Fellow-$500
__Sustainer-$250
__Contributor-$100
__Family-$50
__Active-$40
__Student or Teacher-$25
__Apply 10% senior discount

Payment
In addition to my membership dues, I want to make a contribution to the UO Museum of Art in the amount of:
$_____________
$_____________Total Due (Membership plus contribution)


__Check enclosed (Made payable to the University of Oregon Foundation)
__MasterCard __Visa __ American Express

Card number__________________________________
Expiration Date________________________________
Name on Card_________________________________
Signature_____________________________________


__ My employer will match my gift
Employer Name:
____________________________________________
(If available, please enclose your company’s matching gift form)

APO4MAWB

Please print out this form and mail or fax it to us at:
Jordan Schnitzer Museum of Art at the University of Oregon
1223 University of Oregon
Eugene, OR 97403-1223
PHONE (541) 346-0942
FAX (541) 346-0976

For more information call (541) 346-0942.

Thank you for joining the Jordan Schnitzer Museum of Art at the University of Oregon!
Copyright © Jordan Schnitzer Museum of Art at the University of Oregon. All rights reserved.