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Important Info
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FREE Friday Night Live!
Great Money Challenge 2012
i-engineers
Me and My Shadow
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Shoe Box Zoo
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Donor Bill of Rights
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2012 Annual Report
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I want to give the gift of Museum Membership!
Gift Membership purchases available using the following cards:
Gift Membership Package
Military Membership $65.00 USD
Two Fun Membership $70.00 USD
Grandparent Fun Membership $75.00 USD
Family Fun Membership $95.00 USD
Family Extravaganza Membership $125.00 USD
Childcare Provider or Non-Profit Agency Membership $165.00 USD
Gift Giver Information
First Name
Last Name
Address
City
State
Zip Code
Home Phone
Work Phone
Email
Member?
Yes
No
If yes, please enter Membership Number
(if known)
Gift Information
Send Membership package
To me
To the Recipient
Gift Message:
New
Renewal
If yes, please enter Membership Number
(If number unknown use 55555)
Recipient Information
Primary Name as You Wish it to Appear on the Membership Card
Adult First Name
Last Name
Additional Membership Cardholder
(not applicable for the Two Fun Membership)
Adult First Name
Last Name
Address
City
State
Zip Code
Home Phone
Work Phone
Primary Account Holders Email
Number of children or grandchildren
Please list their first and last name
Child 1: First & Last Name
Child 2: First & Last Name
Child 3: First & Last Name
Child 4: First & Last Name
Member Agreement
By selecting 'Yes' below, I acknowledge that I understand my membership benefits are only for those adults and children listed on this membership application and that my membership cards are not transferable to others under any circumstances. I understand that I will be asked to provide photo identification when I present my membership card at the admissions desk. I understand that my membership is non-refundable.
The recipient or the gift giver (as previously selected) will receive the membership packet 2-3 weeks from the date of submitting this form.
Yes