American Merchant Marine Museum
Of the United States Merchant Marine Academy
Kings Point, NY 11024
(516) 773-5515

YES, I want to become a member of the American Merchant Marine Museum. Enclosed is my contribution of $_____.

I also want to contribute to the Museum’s Annual Fund. My Annual Fund Contribution of $_____ has been added to my membership.

My check for the total contribution of $_______ is enclosed.

Charge My: ___ Visa ____ Mastercard
Account Number: _______________________
Expires: _______________________________
Name on Card: _________________________
Signature: _____________________________

Make all checks payable to The USMMA Alumni Foundation-Museum.

__ Check here if you do not wish to receive any of the member gifts described above and would like 100% of your contribution to be tax deductible and applied to the ongoing work of the American Merchant Marine Museum. *

Name: _________________________________
Address: _______________________________
City: __________________________________
State: ___________ Zip: _________________

This is a gift membership for:
Name: _________________________________
Address: _______________________________
City: __________________________________
State: ____________ Zip: _________________

Thank you for your support.