Membership Application

YES, I wish to support the American Friends of the Shanghai Museum.

Please enroll me as:
 FRIEND: $500
 PATRON: $1,000
 SPONSOR: $2,500
 BENEFACTOR: $5,000

 Check enclosed
(Make checks payable to American Friends of the Shanghai Museum)

 I am making an additional contribution of $
to the American Friends of the Shanghai Museum.

 
NAME

 
ADDRESS

 
CITY, STATE, ZIP CODE AND COUNTRY OF RESIDENCE

 
PHONE

 
FAX

 
EMAIL ADDRESS

Please print and return this form to:
American Friends of the Shanghai Museum
530 East 86th Street, New York, NY 10028
phone & fax: 212-861-7799

EIN# 13-3813924