Lane Motor Museum
Lane Motor Museum Membership Form
Fill out this form to become a member of Lane Motor Museum!
Join below or learn more about our memberships at:
lanemotormuseum.org/membership
Any questions? Please call or email Meghan Palik at 615-742-7445 or
palik@lanemotormuseum.org
Is this a GIFT MEMBERSHIP? If so, please use this form:
Gift Membership Form
Member Information
Which Annual Member Level would you like to purchase?
*
$40- Individual (One named member with unlimited visits for one person)
$50- Member/Guest (One named member with unlimited visits for member + 1 guest per visit)
$65- Family (Two named members, each with unlimited visits + 1 adult guest and up to 2 youth guests per visit)
Are you a new or renewing member?
*
New
Renewing
Do you have a coupon code?
Coupon Code
Great! This code saves you $10 on your membership!
Save $10
Thanks! This code saves you $10 on your membership!
Save $10
Name
*
First
Last
2nd Member Name
First
Last
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
United States
United Kingdom
Australia
Canada
France
New Zealand
India
Brazil
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Afghanistan
Åland Islands
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Algeria
American Samoa
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Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
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Cameroon
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Cayman Islands
Central African Republic
Chad
Chile
China
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Republic of the Congo
Cook Islands
Costa Rica
Côte d'Ivoire
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Cuba
Cyprus
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Djibouti
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East Timor
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El Salvador
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Faroe Islands
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Finland
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Curacao
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Niger
Nigeria
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Poland
Portugal
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Qatar
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Samoa
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Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Email
*
2nd Member Email (not required if you would like to receive museum communication at only one email)
Phone Number
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Thank you for purchasing a membership to Lane Motor Museum! Please let us know if you have any comments, notes or questions. Thanks!
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