Membership Application

It's easy to become a member of The Mini-Time Machine Museum of Miniatures.
Simply click here for a printable PDF application that can be returned via email, fax or mail. Or, fill out the information below and follow the instructions to complete your transaction online using PayPal. You do not have to have a PayPal account to continue the payment process online.

This application is for a:

I wish to join/renew at the following level:





In addition to my annual membership, I would like to make a donation and be recognized for my support at one of the following levels:




 

Member Information:

Primary (first and last name):

Title: Mr. Mrs. Ms. Miss Dr.

2nd name on card for Family or Senior Membership:

Title: Mr. Mrs. Ms. Miss Dr.


Mailing Address (street):

City, State, Zip:

Home Telephone: Work Phone:

Email Address - Primary:

Email Address - 2nd name on card :

Names of children under 18 (first and last) for Family Membership only:

1.

2.

3.

4.


Your information (only needed if purchasing membership as a gift):

First and Last Name:

Street Address:

City/State/Zip:

Phone Number:

Email Address: