Membership Form – Nevada Division of Museums and History

Membership Form

To register for the [EVENT TITLE HERE] on [DATE/TIME HERE] at [LOCATION HERE], please fill out the form below.

NOTE: Any information received by registrants will not be shared with any third party.
Are you a current Nevada State Museum member?*
- Yes
- No
Take this opportunity to become a museum member! The $8 event registration fee will go directly toward your membership cost. Call our Membership Coordinator at 775-687-4810 ext. 224 for more information.
Name*
First Last
Email*
Phone*
Address*
Street Address City State / Province / Region ZIP / Postal Code
Name
This field is for validation purposes and should be left unchanged.