Lowe Art Museum | Membership Form

To Join simply fill out the form below. Print the form and Fax it to 305.284.1540 or Call 305.284.1540
YES, I WANT TO JOIN NOW!
	Academic Full-Time Student or Educator (ID Required) ($30)
	Cintas Individual ($50)
	Kress ($65)
	Barton ($100)
	Contemporary ($150)
	Director's Circle ($1,200)

DISCOUNTS (if applicable, select one):
	University of Miami Faculty/Staff ($10)
	Out-of-state resident ($10)

ADDITIONAL DONATION:
	Increase your support with a tax- deductible donation of
	$10 $20 $50 other $
	TOTAL PAYMENT:

CREDIT CARD:
	Visa
	Mastercard
	Amex
	Discover
	Account number
	Cardholder name
	Expiration date

PLEASE COMPLETE BELOW:
	Mr. Mrs. Miss Ms.
	Address
	City
	State
	Zip code
	Day phone
	E-mail
	Name on second card (If applies)


CONTACT MEMBERSHIP
	To join by phone, or for more information call (305)284-1540
	Yina Balarezo, Membership Coordinator Lowe Art Museum University of Miami 1301 Stanford Drive Coral Gables, FL 33124-6310 Phone:(305)284-1540 Fax: (305)284-2024 Email: yaba@miami.edu

Give to the Lowe’s Annual Fund! Click here to make a donation.