NEMA Institutional Membership Application

NEMA Individual Membership Application

Please indicate one of the following: New membership Renewal

(Please print clearly) Name: _______________________________________________________________________ Title: _________________________________________________________________________ Institution: ____________________________________________________________________ Address: _____________________________________________________________________ City: ______________________ State: _______________ Zip: __________________________ This address is for: Home Business Telephone: ______________________________ E-mail: _______________________________________ Place of Employment : _________________________________________________________ Job title: _________________________________________________________

Professional Interests: NEMA tailors publications and professional development programs to meet member needs. To help us ensure that you get the most from your membership: Please check your museum's discipline (you may check more than one): Art History Science This information is important for NEMA's networking services. Please check no more than two:
Children's Museums College/University Museums Conservation Curator Development Director Education Exhibit	Events Facilities Rental Historic Landscape Human Resources Independent Professionals Library & Archives Membership Museum Administration Museum Stores	Registrars Public Relations & Marketing Small Museums Technology Trustees Visitor Services Volunteers Facilities Management/Security
Individual Membership Categories
$40 Museum Professional Employees and trustees of museums and related non-profits.
$30 Reduced Please indicate your status (check the appropriate category):
Job hunting (currently unemployed) Full-time student (must enclose photocopy of school ID Retired or Volunteer
$50 Friend of NEMA $______ Amount Enclosed
We make mailing labels available occasionally to carefully selected organizations whose services, products or workshops may be of interest. Please check here if you do not wish to have your name released, or call the NEMA office for more information.
Payment by Check made payable to NEMA Payment by Credit Card (Visa or MasterCard) Card # ____________________________________________ExpDate_____________________ Signature:__________________________________________________________________
Please complete this form and return to the address below with the appropriate payment. Questions? Call 781-641-0013. New England Museum Association 22 Mill Street, Suite 409 Arlington, MA 02476