Micro Mosaic of Beatrice Cenci
Friends of the Edward-Dean Museum
Membership Form

Name: ________________________________________ Date:___________________


Address: _________________________________ Telephone: ___________________


City________________________________ State: __________ Zip Code: _________

The Board of the Friends of the Edward-Dean Museum expresses its appreciation for your
interest in joining our membership. As a member, we welcome your contributions, talents and
personal involvement. By becoming a member you can help the Friends reach their goals.
Membership covers the calendar year, January 1 through December 31.
Your membership card will admit you to the Museum free of charge.

To join, print this page, fill in your information along with your check made payable
to the
Friends of the Edward-Dean Museum, and mail to:

Friends of the Edward-Dean Museum
P.O. Box 3095
Beaumont, CA 92223

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___ Student................ $ 15.00

___ Individual............. $ 25.00

___ Family................. $ 50.00

*All donations are tax deductible to
the extent authorized by law
___ Patron................. $ 150.00

___ Corporate............ $ 500.00

___ Lifetime............... $ 1,000.00

___ Benefactor........... $ 3,000.00
___ I am interested in volunteer work for the Friends
___ I would like information about Gifts and Bequests
___ Please include me in E-mail announcements*

*E-mail address:__________________________________