Membership Form

Please complete the form below or call 901-320-6406 to register over the phone. Our office is open Monday –Saturday from 9:00 a.m. to 5:00 p.m. and Sunday from 12:00 p.m. to 5:00 p.m if you have any questions.

All memberships, Family and above, include 2 adults and up to 10 related children under 18. You may type "Guest" in the "2nd Adult" blank if you do not have a 2nd adult to list.

Looking for a great gift? Share "Lively Learning for All" at the Pink Palace Family of Museums and give a Gift Membership to your family and friends. Please click the Gift Membership box at the bottom of the form to open the donor section of the form.

MEMBERSHIP RENEWAL
You may renew your membership by clicking the renewal box and filling out the form.

After you fill out this form you will be directed to PayPal. This is where you will pay for your membership. If you do not want to use PayPal to pay for your membership, please call 901-320-6406 to make other arrangements.

I am renewing my membership.

*Name: *First *Last

*Second Adult Name: *First *Last

The second adult is my spouse.

*Address:*Street Address

Street Address 2

*City

*State *Zip / Postal Code

*Home Phone:

Alternate Phone:

*Email:

*Number of Children Under 18:

*Membership Level:

This membership is a gift.

For gift memberships, fill out the recipient's information above and your information below.

Gift From First Last

Address:Street Address

Street Address 2

City

State Zip / Postal Code

Phone: