Membership form header image

Become a Rockwell Member

Welcome! Complete the form below and click on "Submit Donation" to become a Member of The Rockwell.

Why Membership?

Choose a Membership Level

Individual | $70
Dual | $100
Donor | $250
Sustainer | $500

Design your own level of involvement!

Select optional Membership Enhancements

Smithsonian | + $20

Rockwell Ambassador | + $30

Family | +$30

Ambassador and Family | + $50

Total*

Salutation

First Name*

Last Name*

Address*

City*

State*

Zip*

Phone*

Email*

Confirm Email*

Please sign me up for your e-newsletter

Payment Info

Acknowledgement

For all donations, please list your name(s) as you would like it to appear in our program listings (separated by commas)

Name(s) to acknowledge

I would like this donation to remain anonymous

Give a Gift Membership

Gift Membership Recipient Name

Personal note to be included with gift

Gift Membership Information

Acknowledge by

First Name

Last Name

Address

If a Rockwell Member referred you, please enter their name here (optional)

Referred By:

Other Ways to Give

Give by Phone

You can make a gift by calling: (607) 974-7063

Give by Mail

You can also give by printing this form and mailing to:

The Rockwell Museum

Attn: Brianna VanOsdol

111 Cedar St.

Corning, NY 14830