Hollywood Heritage Membership Application

Fill out this form and then print it. Please send the printed form to:
Hollywood Heritage, Inc.
P.O. Box 2586
Hollywood, California 90078-0192

MEMBERSHIP APPLICATION
YES! Count me/us in to help support Hollywood Heritage’s dedication to the preservation of Hollywood through its architecture and the history of the motion picture industry.

$2,500 Majestic $1,000 Keystone $500 Bison $250 Kalem $100 Triangle**
$50 Household / Lubin $40 Individual / Artcraft $25 Senior (65+) Selig

**Join at the $100 Triangle level or above, and receive a 23" x 29" collectable reproduction poster, A Map of Hollywood from the Best Surveys of the Time, c. 1926.

MEMBERSHIP BENEFITS INCLUDE:

Free admission to the Hollywood Heritage Museum
10% discount at the Museum Store
Advance notification of special member programs
Discounts on Silent Society Film programs at the Hollywood Heritage Museum, UCLA, and the Paramount Ranch
Discounts on special events and Hollywood merchant purchases.

Name:

Address:

City: State: Zip:

e-mail address

I wish to pay by: Check (Please make checks payable to Hollywood Heritage Inc.)

Charge my: Visa Mastercard Card Number Expiration Date

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