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Home > Membership > Membership Form

Membership Form

If you are interested in becoming a member, please complete the form below. One of our staff members will be in touch with you regarding the payment that is owed once the form has been submitted.

Personal Information
Full Name:
Address:
City:
State:
Zip:
Phone Number:
Email Address:
Is this a: New Membership
OR
Renewal
Membership Type: Full Benefit Individual ($40)
Full Benefit Family ($60)
Discounted Family with limited benefits ($40)
Available to Seniors, Active Military
Discounted Individual with limited benefits ($25)
Available to Students, Teachers, Seniors, Active Military


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Peninsula Fine Arts Center | 101 Museum Drive | Newport News, Virginia, 23606 | 757-596-8175 | Questions or Comments?