Gift Membership

Dual Gift

Amount:

Primary Cardholder Name

Secondary Cardholder Name

Mail Recipient

Please enter the name and contact information of the Mailing Recipient selected above:

A certificate will be mailed to the individual indicated above within two weeks of purchase. The recipient must redeem the Gift Membership (within 6 months) by calling or visiting the Museum and providing the reference code on the back of the certificate. Once redeemed, the Membership will be active for one year from the date of redemption. Any promotional gift with purchase items are not provided with Gift Membership purchased online or by phone.

Name

Address:

City:

Country

State/Prov:

Postal Code:

Phone number

Phone Type

Please enter the message you'd like to be delivered with the Gift Membership:

This message will be included with card if Philbrook mails to recipient (50 Word Limit)

Acknowledge me/us in the letter as: