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To be added to the waiting list for the Dominique Laxalt by Michael Fischer on June 28th from 6:30pm-7:30pm at the Nevada State Museum, please fill out the form below.

NOTE: Any information received by registrants will not be shared with any third party.

Are you a current Nevada State Museum member?*

Yes, I am a member.
No, I want to become a member.
No, I want to renew my membership.
No, I want to pay for the lecture only.

Becoming a member is easy, and your $8 event fee will go toward your membership. Click here to learn more about museum memberships.

Which museum are you a member of?*

Name*

First Last

Email

Phone*

Number of Seats*

Are all seats for current members?*

Yes
No

Provide the names of all guests:*

Address*

Street Address City State / Province / Region ZIP / Postal Code

Please list any special accommodations you will need:

E.g. wheelchair, front row seating, etc.

You will be contacted by our Curator of Education shortly.

You will be contacted by our Membership Coordinator for payment information shortly.

Email

This field is for validation purposes and should be left unchanged.

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