The Jacques Marchais Museum is a 501(c) (3) not-for-profit organization. The Museum is grateful for the continued support of our donors. As a Friend of the Museum, you will receive the following benefits:

• Free admission to the Museum
• Invitations to special events
• Discounted admission to Museum programs
• Subscription to the Museum’s newsletter
• 10% discount on all shop purchases

"Friends of the Museum" Printable Form

I would like to become a "Friend of the Museum" at the following level:

	Individual		$25.00
	Senior/Student		$20.00
	Family		$40.00
	Sponsor		$50.00
	Supporter		$100.00
	Corporate Benefactor		$500.00
	Sustaining Benefactor		$1000.00

Name: ______________________________________________

Address: _____________________________________________

City/State/Zip: ________________________________________

Phone: ______________________________________________

Email: _______________________________________________

	Check enclosed.
	Please make check payable to: The Jacques Marchais Museum of Tibetan Art.
	Visa/Mastercard/American Express/Discover
	___________________________		Exp. date_____
	Name as it appears on card:
	_____________________________________________

Please print out this form and return with payment to:
The Jacques Marchais Museum of Tibetan Art
338 Lighthouse Avenue
Staten Island, NY  10306