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Be a Member of Two Museums!

The IMCAC is a wing of the Ontological Museum. Your membership extends to both museums as well as covers membership dues in the International Post-Dogmatist Group, The Massurrealist Society of Mexico, The Fluxnexus and the Neoist Society should you decided to join any of them.

This form provides a convenient way to join and renew online using your credit card.

Please select one

	I am a new member.
	I am renewing my membership.
	I was a member in the past and would like to rejoin.

Indicate membership category (choose one)

$45 Individual

$500 Patron

$75 Family

$1,000-$5,000 Connoisseurs' Circle

$125 Contributing

$5,000+ Trustees' Circle

$250 Donor

$25,000+ Founder's Circle


Contact Information

	Full Name (as it will appear on all membership records)

	Second Cardholder Full Name (as it will appear on all membership records for Household level and above)
Address
City
State
Zip
Daytime Phone
Evening Phone
Email


Payment
Credit Card Type
Credit Card Number
Expiration Date
Total Amount $

You may also pay securely by paypal.com - account = cecil@touchon.com


If you prefer to join by regular mail, you can print out this membership form and mail: The Ontological Museum Attention: Cecil Touchon 6955 Pinon Street Fort Worth, Texas 76116 Checks Payable to Cecil Touchon The Ontological Museum The International Museum of Collage, Assemblage and Construction