SMOP Membership Payment Form : Pennsylvania Heritage Foundation

Membership Category

New
Renewal

Membership Number

Name

Prefix

First Name *

Last Name *

Suffix

8aev3fhwbbxt

Address

Country

Address Line 1 *

Address Line 2

City *

State/Province *

Postal Code *

County

Phone

Membership Type

SMOP Individual Member ($55)
SMOP Family Member ($75)

Second Adult Name - Family Membership ONLY

Second Adult Name and # of Children are required for Family Memberships

Prefix

First Name

Last Name

Suffix

# of Children for Family Membership:

Support The State Museum with a Gift

All donations are appreciated. Your support allows The State Museum to provide and expand many of its programs and projects.

Donation Amount:

Select a Payment Method

Credit Card
Bank Account

Cardholder Name

Credit Card #

Expiration Date

Security Code

Account Holder

First Name

Last Name

Account Type

Checking
Savings

Account Number

Routing Number

Your total payment will be .

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged

How did you hear about The State Museum of Pennsylvania?

Thank you for your membership to The State Museum of Pennsylvania! We love hearing how our members came to learn about us. We hope you'll let us know how you found us!

Visited Website
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Additional Comments

A copy of the official registration and financial information may be obtained from the Pennsylvania Department of State by calling toll-free within PA (800) 732-0999. Registration does not imply endorsement.