| WHEELS Transportation Museum Membership Form

Wheels Museum Membership Form

First Name:
Last Name:
Address:
City:
State/Region:
Zip Code:
Country:
Email Address:
Home Phone:
Business Phone:
	Enter my membership at the level checked below:
	Individual $30.00 Family $55.00 Business $150.00
	Please consider an additional contribution:
	Hub $100.00 Spoke $250.00 Wheel $500.00 Driver $1000.00
Notes:

Press to submit this form, or to start over.

Gift memberships are available. If you would like more information, please call (505) 243 6269 or email us at info@wheelsmuseum.org

If you prefer, you can print this membership form and mail it with a check made payable to:

Wheels Museum Inc.
1501 1st St. NW
Albuquerque, NM 87102