The Heart of a Child Doll Museum and Learning Center

Annual Membership Application

Membership Type:
Family ($85.00)
Individual – Adult ($42.00)  
Individual - Sr. / Military ($30.25)

Membership Start Date: ___/___/___ Expiration Date: ___/___/___

Applicant Name: ______________________________________  

Applicant Address: _________________________________________________

_________________________________________________

Applicant Telephone: (home): ______________(office/work): _____________

Would you consider volunteering time with our museum as a story teller or guide?

YES - NO - MAYBE  

If yes or maybe, what are your available dates and times?

Wednesday

Thursday

Friday

Saturday

…………………………………………………………………………………………………………………

The Heart of a Child Doll Museum and Learning Center

Annual Membership Receipt  

Membership type - Family Individual – Adult Individual – Sr./Mil

Member Name: ___________________________________________________

Effective date: ________/_____ _/________ Expiration date: ________/_______/________

Cashier signature and date