new renewal upgrade

Level
Colleague - $1,000
Curator - $2,500
Director - $5,000

Company Name
(as you would like it to appear in donor recognition)

Main Contact

Address

City

State Zip

Telephone - - Fax - -

Email website

Please send the following company representative(s) Executive Membership cards:

Name/Title

Name/Title

Name/Title

Name/Title

Method of Payment            Total Amount Enclosed $

Enclosed is a check made out to the Oakland Museum of California Foundation.
Payment will be made by / / (date). Please invoice us.

Please return completed form to:

Corporate Relations Office
Oakland Museum of California
1000 Oak Street
Oakland, CA 94607
510/238-6563 phone
510/238-2258 fax