To participate in the Friends and Family Membership Program, simply complete the following form, print the form and send the form along with your contribution to:

Albany Institute of History & Art

Development Department

125 Washington Avenue

Albany, NY 12210

For questions or more information, contact Travis O’Donnell at 518-463-4478 x412.

REFERRED BY: ______________________________________________

Friends and Family Membership Categories (please check):

$20 Student/Teacher

$35 Individual

$55 Dual

$60 Family

$100 Supporter

Please indicate name(s) as it/they should appear on membership/gift membership card(s) and roster:

Mr./Mrs./Mr. & Mrs./Miss/Ms./Company

Name: _______________________________________

Address:________________________________ ___________________________________ ___________________________________

City: ______________ State: ____ Zip:________

Daytime Phone: _________________________

Evening Phone: __________________________

Email address:___________________________

Enclosed is a check or money order in the amount of $_________ made payable to:

Albany Institute of History & Art

Please charge the amount of $__________ to: • Visa • MasterCard • Discover • American Express
Card Number: _______________________________ Expiration __________

Verification Code (on the back of your card by the signature): _________

Date: ______________________________

Signature: ___________________________________

Annual Membership Benefits

· Free unlimited admission to the museum

· Personalized membership card

· Members’ newsletter and calendar of events

· Invitations to special AIHA Members-only events, including exhibition previews, lectures, education programs, travel programs and Shop sales.

· Empire State Reciprocal Membership Program gives members free admission and museum shop discounts at selected museums throughout the region

· 10% Discount in the Museum Shop

Student $20

Includes annual membership benefits for one student with valid ID

Individual $35

Includes annual membership benefits for one adult

Dual $55

Includes annual membership benefits for two adults

Family $60

Includes annual membership benefits for up to three adults, children and grandchildren under age 18 plus...

· Invitations to family programs and activities

Supporter $100

Includes annual membership benefits for up to three adults, children and grandchildren under age 18 plus...

· Membership in the North American Reciprocal Program

· Four complimentary guest passes for museum admission

· Space Rental Privileges