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Your Personal Information:
Name(s) as you would like them to appear in publications: *
 
Winter address:   Summer address:
Street/PO Box: *   Street/PO Box:
City: *   City:
State: * Zip: *   State:
Zip:
Phone: *   Phone:
 
From:  Through: 
   
From:  Through: 
       
I would like to receive news and updates from the Nantucket Atheneum.
I am willing to volunteer. Please contact me if the need arises.
Please contact me about planned giving.


Please choose your membership contribution level:
Donor: $1—$99 Supporter: $100—$249 Contributor: $250—$499
Sustainer: $500—$999 Patron: $1,000—$2,499 Sponsor: $2,500—$4,999
Partner: $5,000—$9,999 Director's Circle: $10,000 and above
     
Membership Contribution: $
*
     
If you are making a contribution to a designated Atheneum fund other than Membership, please indicate the fund name:

Your Payment Information:

     
Name as it appears on credit card :   *
Email Address :   *
     
Billing Address :   Same as Winter Address
Street/PO Box: :   *
City :   *
State :   *
Zip :   *
Phone :   *
 

Card Details

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Card Number :  
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Expiration Date :  
 Month : *   Year : *
 

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The Nantucket Atheneum is a 501(c)(3) not-for-profit corporation. Contributions are deductible to the full extent of applicable tax regulations.  Advice from your tax and legal advisors is recommended.


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