Choose Your Team
Your information is safe. Blacktie does not sell or share any information about you or your purchase. In addition, you should see a little padlock in the corner of the screen. This indicates that this site is protected by a Secure Socket Layer and that your credit card or electronic check information can't be intercepted as you enter it. All fields are required unless otherwise noted.

Friends of MODS


Please fill out the form below to make a donation online. All fields are required except for comments.
This is a secure form.
First Name:
Last Name:
Address:
City:
State: (ignore for non-US transactions)
Zip Code:
Country:
Email Address:
Confirm Email Address:
Preferred Phone:
Title (optional):
Organization (optional):
Credit Card Billing Address
 
 If the address where you receive the credit card bill is different than above, please enter it here.
Address:
City:
State:
Zip Code:
 

Confidante ($100.00) - Individual Museum membership ($65), invitation to all Friends of MODS events, discounted admission to all Friends of MODS events, one ticket to a future Discovery after Dark event (will be contacted with information on how to redeem)
Buddy ($200.00) - Starfish Dual Museum membership valid for two individuals ($95), invitation to all Friends of MODS events, discounted admission to all Friends of MODS events and two tickets to a future Discovery after Dark event event (will be contacted with information on how to redeem)
Bestie ($500.00) - Manatee Family Museum membership valid for two adults and four children ($135), invitations to all Friends of MODS events, discounted admission to all Friends of MODS events, three tickets to a future Discovery after Dark event event (will be contacted with information on how to redeem), one Grand Tasting ticket to the Wine, Spirits and Culinary Celebration ($150)-second ticket available at 50% off
Charge Amount:
$100.00 - Confidante
$200.00 - Buddy
$500.00 - Bestie
Pay by Credit Card  
Card Type:
Credit Card Number:
Credit Card Expiration (mm/yy): /
Name On Card:
C V V Value: