MUSE/IQUE Membership Levels with Benefits

 

To purchase a membership for someone else, please complete the form below, and click on "Submit" to complete the purchase.

To submit this form, all "*" fields must be filled in.

 

Billing Information

INNOVATOR ($250)
TOUCHSTONE ($500)
MUSE ($1,000)
TRAILBLAZER ($2,500)
Salutation
Your First Name*
Your Last Name*
Your Address*
Your City*
Your State*
Your Zip*
Your Phone Number*
Your Email*
Confirm Email*
Please sign me up for your e-newsletter!
Card Type*
Card Number*
Expiration Month*
Expiration Year*
Card Security Code*
Name(s) to acknowledge
I would like this purchase to remain anonymous.
Recipient Information
Date to Send Membership to Recipient*
Recipient First Name*
Recipient Last Name*
Recipient Email*
Recipient Phone Number*
Personal note to be included with membership

OTHER WAYS TO PURCHASE/


Purchase by Phone

You can make a gift by calling 626-539-7085.


Give by Mail

You can also give by printing this form and mailing to 300 East Green Street, Civic Auditorium Third Floor, Pasadena, CA 91101.