Please fill in all of the fields below so that we may set up your membership and be able to contact you.

Member Name
EHS Number	Renewal
E-mail
Tel
FAX
Address 1
Address 2
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State
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2nd Address	When?
Address
City
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One year membership  is $40,

         Membership Fees:

          One year membership  $40 * Yes 

  

          Total fees ( membership = ) 

           * Membership dues are non-refundable once paid. 

         Gift Memberships

          Is this membership being given as a gift? Yes/No 

         What is the occasion?

          Please indicate the giver's name and address:

          Gift purchaser's name 

Gift purchaser's address

            Gift giver's email and telephone number:

           Email 

Telephone

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Enter any comments or special instructions in the space provided below:

If this space is not adequate, please email to ehsociety@gmail.com

Note: The Edna Hibel Society can not assist with valuation or product sales advice. Please see the FAQ link for guidance.

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You may complete your membership two ways:

 

         1.  Submit this form below and mail a check to:

          Edna Hibel Society,

c/o Hibel Museum of Art

5353 Parkside Drive 

Jupiter, FL 33458

 

 I will pay by form/mailed check.  

 

2. Submit this form and go to our on-line shopping cart, select  the Edna Hibel Society category and complete the order for payment. I will use the shopping cart for payment.