MEMBERSHIP FORM

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1

Family/Grandparents - $65 Plus

(Expires 1 year from date of purchase)

Unlimited visits to the Museum for 365 days

Admission to 300 plus Museums across the USA

Discounts on Birthday Parties & Camps $65.00

General Information

Date

New/Renewing Membership?

New MembershipRenewing Membership

First Name

Last Name

Address

City

State

Zip Code

Country

Phone Number

Emaila valid email

Shipping Information

Yes, my general information is the same as my billingNo, I want my membership to be mailed to a separate address

NameFirst

NameLast

Address

City

State

Zip Code

Country

For delivery purposes only

Phone Number

Paid?

PayPalCredit or Debit

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