membership_issues – Rubin Museum of Art

MEMBERSHIP ISSUE- INTERNAL USE ONLY

Please enter any issues regarding member requests on the form below. For all other general membership inquiries, please email membership@rubinmuseum.org.

Name of Staff member reporting issue

Member Name

First Last

Secondary Member Name

First Last

Member Number

Nature of Issue

Card is illegible

Card was damaged, stolen, or lost

Member requests change in secondary member

Name of member spelled incorrectly on card

Update in contact information such as street address, phone number, and/or e-mail

Remove from paper mailing list

Remove from e-communications

Online ticket purchase discount is not working

Other

If other has been selected, please describe the nature of this issue.

Please enter any new information provided by the member below.

New Primary Member Name

First Last

Remove this Secondary Member:

First Last

Add this Secondary Member:

First Last

New Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

New Phone Number

New E-mail Address

Additional Information

Reason for Card Reprint (eg. lost, stolen, damaged, illegible)

Reason for Removal from Mailing List(s)

Additional details