Friends of Langson Museum
Membership Levels
Friend - $100
Advocate - $500
Patron - $1,000
Member Information
Salutation
Please select...
Mr.
Ms.
Mrs.
Dr.
Prof.
First Name
Middle Name
Last Name
Personal Email
Mobile Phone
Relationship to UCI
Please select...
Alumni
Parent
Friend
Billing Address
Street
City
State/Province
Zip/Postal Code
Country
Would you like to add a second member?
Yes
No
Additional Member Information
First Name
Last Name
Middle Name
Personal Email
Mobile Phone
Relationship to UCI
Please select...
Alumni
Parent
Friend
Staff
Faculty
Membership Details
Membership Level Chosen
Total Due
Credit Card Information
Credit Card Number
Credit Card Expiration Month
Please select...
January
February
March
April
May
June
July
August
September
October
November
December
Credit Card Expiration Year
Please select...
2026
2027
2028
2029
2030
Credit Card Security Code
Cybersource_Hidden_Fields
reCAPTCHA helps prevent automated form spam.
The submit button will be disabled until you complete the CAPTCHA.
Contact Information
