(THIS NEEDS TO BE A FORM THAT INCLUDES TEXT BOXES TO ENTER THE FOLLOWING INFORMTION:)
 
LAST NAME
FIRST NAME:
PHONE:
EMAIL ADDRESS:
MAILING ADDRESS:
CITY:
STATE:
ZIP CODE:
TYPE OF MEMBERSHIP (DROP DOWN MENU WITH THE FOLLWING CHOICES)
  • Adult $30
  • Seniors or Student $25
  • Dual (2 Adults or 1 Adult & 1 Child $55
  • Family (Household Members Only) $100
  • Grandparents (2 Grandparents and up to 4 grandchildren $65)
NAME(S) ON MEMBERSHIP
TYPE OF PAYMENT (RADIO BUTTONS)
PAYPAL
CREDIT CARD
 
ONCE REGISTRATION AND PAYMENT IS COMPLETED, INFORMATION NEEDS TO BE SENT TO NICKGAILEY@MUSEUMOFIDAHO.ORG
 
AFTER THEY SUBMIT INFORMATION AND COMPLETE PAYMENT, CAN THEY AUTOMATICALLY BE TAKEN TO A SCREEN THANKING THEM FOR THEIR MEMBERSHIP?
THIS IS THE DEV SITE (for testing only)
THIS IS THE DEV SITE (for testing only)