HIBEL TM Society Membership Form

 

Please fill in all of the fields below so that we may set up your membership and be able to contact you.

Member Name
EHS Number Renewal
E-mail
Tel
FAX
Address 1
Address 2
City
State
Zip
   
2nd Address When?
Address
City
State
Zip
Tel
One year membership  is $40,

         Membership Fees:

          One year membership  $40 * Yes 

  
          Total fees ( membership = ) 

           * Membership dues are non-refundable once paid. 


  •          Gift Memberships
  •           Is this membership being given as a gift? Yes/No 

             What is the occasion?

              Please indicate the giver's name and address:

              Gift purchaser's name 

    Gift purchaser's address

                Gift giver's email and telephone number:

               Email 

    Telephone


    Enter any comments or special instructions in the space provided below:

    If this space is not adequate, please email to ehsociety@gmail.com

    Note: The Edna Hibel Society can not assist with valuation or product sales advice. Please see the FAQ link for guidance.


     

    You may complete your membership two ways:
     
             1 Submit this form below and mail a check to:
              Edna Hibel Society,
    c/o Hibel Museum of Art

    5353 Parkside Drive 

    Jupiter, FL 33458

     
     I will pay by form/mailed check.  
     
    2. Submit this form and go to our on-line shopping cart, select  the Edna Hibel Society category and complete the order for payment. I will use the shopping cart for payment.         

                         


    Revised: 11/22/10.

    Hibel Studio, Inc.  P.O. Box 33332, Palm Beach Gardens, FL 33420-3332