The-Palestinian-Museum-membership-form

CONTACT INFORMATION

Name*

First Last

Address*

Street Address City ZIP / Postal Code Country

Phone*

Email*

Gender*

Male
Female
Other

GIVING PROGRAMES

For more details of each programme, please click here for the English version or here for the Arabic.

I wish to join the following programme*

Please enter the amount (USD)*

Please enter a value greater than or equal to 1.

Please enter the amount (USD)

Please enter a value greater than or equal to 1.

ACKNOWLEDGEMENT

Please 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.

PREFERRED PAYMENT METHOD

Contributions are tax deductible if you are a US or UK taxpayer.

Payment Method*

Cheque
Bank Transfer
Credit Card

MEMBERSHIP FORM

CONTACT INFORMATION

GIVING PROGRAMES

ACKNOWLEDGEMENT

PREFERRED PAYMENT METHOD