FRIENDS OF THE PALESTINIAN MUSEUM MEMBERSHIP FORM The Museum is a flagship project of Taawon-Welfare Association. I would like to become a new member or renew my membership with the Friends of the Palestinian Museum.*I want to become a member and receive full member benefits.Please renew my membership.My member number is*CONTACT INFORMATIONName* First Last Address* Street Address City ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Phone*Email* DONATION INFORMATIONI wish to donate the following amount annually*USD 25 (Zaatar Circle) Lowest membership rate availableUSD 250 (Khuzama Circle)USD 1,200 (Sawsan Circle)USD 3,500 (Zaytoun Circle)OtherOR I wish to make a single donation of USD 25,000 (Friends for Life)Please enter the amount (USD)*Please enter a value greater than or equal to 25.ACKNOWLEDGEMENTPlease indicate how you would like your donation to be recognised. You may also wish to dedicate your donation to the memory, or in appreciation of, a special person. Please write below the party or parties to be recognised.* Please keep this gift anonymous and recognise my donation as philanthropist. PAYMENT INFORMATIONContributions are tax deductible if you are a US or UK taxpayer. Payment and mailing information will be sent to your email address. Payment Method*ChequeBank TransferCredit Card Kindly note these guidelines for a successful credit card payment: We only accept Visa and Mastercard For your security, the donation shall require card authentication. If you have not already, please contact your bank to enroll in the authentication service Make sure you have enough credit on your card to make the donation Make sure your card is activated to make online payments Make sure to enter your credit card information correctly (name, card number, expiration date, and security code) If you have any questions, or would like to make a donation using a different method of payment, please contact us at email@example.com *You will be redirected to Taawon website (our mother organisation) to proceed with the payment.Signature*Please print first name and last name.