New Member Application

MINT MUSEUM AUXILIARY
PROPOSAL FOR MEMBERSHIP 2019  

Thank you for your interest in the Mint Museum Auxiliary.  All candidates are required to have a sponsor who is an Active member of the Auxiliary.  If you do not know a current member, please contact our New Member Coordinator, Jessica Fallis.

Your sponsor will be notified when your application is received and upon acceptance.  Additionally, please reach out to Jessica with any questions during the process. The application deadline is January 31, 2019.


New Member Application

First Name *
Last Name *
Name Called *
Spouse's Name, If Applicable (First, Middle & Last)
Sponsor's Full Name *
Sponsor Email *
Are you a current member of the Mint Museum? Membership to the Mint Museum is required to be member of the Auxiliary. If you are not a current member of the Mint Museum, please go to their website and join today. www.mintmuseum.org/join *
Are you willing to attend Auxiliary requirements of (select if Yes): *
Are you willing to pay the $75 initiation fee? YES/NO *
Please help us get to know you. This information will be kept confidential within the Auxiliary. It will be used to make interest and talent matches for committee placements. Please describe your Education *
Please describe your Professional Background *
Please describe your prior volunteer experience *
Please describe your prior responsibilities in other organizations *
Please indicate up to three Mint Museum and/or Mint Museum Auxiliary activities you may have attended *
As a future member, please share some specific interests, skills and talents that you might be willing to share with the Auxiliary. Select all that apply. *

Please enter your Contact Information

First Name *
Last Name *
Email *
Phone *
Address *
Country *
City *
State/Province *
Zip/Postal *

Please enter your Billing Information

We accept the following cards
         
Name on Card *
Card Number *
Card Expiration Date *
/
Card Verification Value (CVV) *
?
Same as Contact Information
Billing Address *
Country *
City *
State/Province *
Zip/Postal *
I hereby grant the Mint Museum Auxiliary and its agents and designees irrevocable and unrestricted permission to use, reproduce and publish any and all photographs/videos/voice-overs that the Mint Museum Auxiliary or its agents or designees take/record of me or of my family at Mint Museum Auxiliary sanctioned events or in which I may be included, for promotion, publication, illustration, trade, advertising and any other lawful purpose and in any publication, multimedia outlet, website, social media, or any other manner or medium, without payment or other consideration. As such, I hold harmless and fully release the Mint Museum Auxiliary and its agents and designees from any and all claims, demands and causes of action arising out of or in connection with the organization's use or publication of said photographs/videos/voice-overs. *

  $75.00