About You
Do you or any members of your family currently surf?
yes
no
Surfer's age(s)
Who is your favorite surfer (past or present):
Male:
Female:
Favorite surf movie?
Favorite surf band?
Favorite surf magazine?
Membership Application
Name
Address
City
State/Province
Zip or Postal Code
Country
Home Phone Number (with area code)
Business Phone Number (with area code)
Fax Number (with area code)
Email address
Membership Choice
Silver / Individual (US $20 yearly)
Lifetime (US $250 lifetime)
Gold / Family (US $35 yearly)
Patron (US $500 yearly)
The International Surfing Museum, a non-profit organization, is not equipped to take orders via email. Therefore, we ask that you please submit your order via fax or by by postal mail and allow two to three weeks for delivery. All prices are in United States dollars.
Payment Information
Visa
Mastercard Expiration Date
Credit Card Number
Signature:
Print this form, sign it, and fax it to 1 (714) 960-1434
Or, send check payable to
Huntington Beach INTERNATIONAL SURFING MUSEUM
PO Box 782
Huntington Beach CA 92648
USA
