Yes, I wish to become a member of the Belskie Museum in the following category:

                 Supporting Membership
                         (annually)......................................................................... $25.00

                 Patron
                         (annually)......................................................................... $100.00 

                 Corporate (or other)
                         (annually)......................................................................... $            

        Name:

        Address:

        City:

        State:   Zip:

        Phone:

        Email:

                                                                             

                                           Please make checks payable to: Belskie Museum

                                                                                and mail to:
                                                                          Belskie Museum
                                                                            280 High Street
                                                                         Closter, NJ 07624

                                                                                 Thank You.

      The Belskie Museum is a tax exempt organization under Section 501-C (3) of the Internal Revenue Code.