Carlos Museum Membership Form
Please complete the following information. Required fields are marked with an asterisk (*). If you are a teacher, Emory faculty, staff, alumni, or student interested in a discount, you may join by mail, onsite, or by calling our Membership Office at 404.727.2623. The discount is not currently available online.
If you are a new member, your expiration date will be on or after the term date listed above. If you are a renewing member, your expiration date will be extended one year from its current date.
I want to make an additional contribution:
This contribution will provide annual support for Carlos Museum exhibitions and educational programs.
Are you using a corporate card for this gift? (Check for YES):
Enter any additional comments here:
If you are purchasing this membership as a gift, please include the name and contact information of the person(s) receiving the membership in the fields below. Please note that without complete address information, we are unable to send a membership notification to the recipient(s).
Title (Mr., Mrs., etc.):
Suffix (Jr., Sr., etc.):
Emory Class Year:
Please enter your phone number in the following format: xxx-xxx-xxxx.
Primary Phone Type:
Secondary Phone Type:
Check here if your employer has a gift matching program: