Home » Membership » Membership Form

Membership Form

Please fill out the following form for obtaining your Plains Art Museum membership.

Fields marked with * are required.

Membership Level

Select a membership type*
Enter a dollar amount within your selected membership range*

Membership Card Information

Enter the name as you wish it to appear on the membership card*

Your Information

Name*
Address 1*
Address 2
City*
State*
Zip Code*
Phone*
Email(valid email required)
Confirm Email(valid email required)

Complete for Gift Memberships

Is this a gift membership?
Yes
No
Recipient Name
Recipient Address 1
Recipient Address 2
Recipient City
Recipient State
Recipient Zip code
Recipient Phone
Recipient Email
A letter will be sent to the gift recipient announcing your gift.
I would like the announcement to read:

Employee Gift Matching

Does your employee match your membership?
Yes
No
Not Sure
How will you send the gift match information?
I will send
My employer will send
Employer Name

Corporate Memberships

Is this a corporate membership?
No
Yes
What is the company name?
Plains Art Museum uses Paypal to process online transactions. Even if you do not have a Paypal account you may pay by credit card. Creation of a Paypal account is not necessary to complete this transaction.

cforms contact form by delicious:days

It is Plains Art Museum´s policy not to sell or trade our mailing list, phone numbers, or any other personal information.

Ways to Become a Member

» Register Online
» Print Application
» Telephone: 701.232.3821 x122
» Visit the Museum during buisiness hours
For More Information:

Contact our Membership Manager:
Email: jjanz@plainsart.org
Phone: 701.232.3821 x122

© 2012 Plains Art Museum