Membership Application

Membership Details

Please fill in all that apply to correctly list you on our website. This information will also be used for billing purposes.

Billing Contact Name*

First Last

Organization/Member Name*

Address*

Street Address Address Line 2 City State ZIP Code

Description*

Website

Email*

Phone

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Open Dates & Hours

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Please indicate the hours (and dates) you wish to show open to the public:*

By Appointment Only
See Our Website
Specify Dates
Do not show hours

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Open Dates*

Open From Date	Closed On Date

Add date ranges in which your organization is open. Use the plus symbol to add multiple date ranges.

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Days Open*

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Monday Open Time*

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Monday Closed Time*

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Tuesday Open Time*

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Tuesday Closed Time*

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Wednesday Open Time*

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Wednesday Closed Time*

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Thursday Open Time*

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Thursday Closed Time*

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Friday Open Time*

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Friday Closed Time*

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Saturday Open Time*

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Saturday Closed Time*

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Sunday Open Time*

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Sunday Closed Time*

Where history resonates and creativity soars

Step 1 of 5

Membership Details

Open Dates & Hours

Marketing Contact Individual

Billing Details