PRINTABLE MEMBERSHIP FORM

You can join the Walter Anderson Museum of Art
3 Convenient Ways!

Print out, fill out and FAX to 228-875-4494

Or you can print out, fill out and MAIL to

Walter Anderson Museum of Art
510 Washington Avenue
Ocean Springs, MS 39564-4632

Or you can visit and join at the Museum!

If paying by check, name & address must be preprinted on the check.
Please make checks payable to Walter Anderson Museum of Art.
Checks will only be accepted with mailed membership form or in person.

Member Information
Name
Address:
City: State:
Zip/Postal Code: Country:
Phone (include area code):
Membership Category
Credit Card Type:
Credit Card Number: Exp. Date:
Name on Credit Card:
E-mail:

Gift Membership Information
(If purchasing a gift membership please list your name & info above and the recipients below)
Name
Address:
City: State:
Zip/Postal Code: Country:
Phone (include area code):
Membership Category
E-mail:

Comments? Questions?

 

Thank You!