Membership Application

First Name *

Last Name *

Email *

Phone *

Please check all that apply:

My interests are: *

I am interested in participating in:

Equipment Preservation

Bus Restoration/Work Parties

Publications ("The Paddle")

Fund Raising

Select the level of membership: *

Individual Membership $40.00

Family Membership $115.00

Business Membership $175.00

Corporate Sponsorship $350.00

Corporate Name

Select How You Would Like To Receive Our Newsletter: *

Electronically as a PDF

“In Print Form Mailed Via USPS

Renewal?

Please check this box if you are renewing your membership. Thank you.

Billing Address for credit card processing *

<strong>Billing Address for credit card processing</strong>

Credit Card *

Pacific Bus Museum Printable Membership Application