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Membership Registration Form

Online memberships will be processed within 1-2 weeks from online submission date and
gift memberships will be sent priority mail. If you will be visiting the Museum within that time,
please sign up for membership at our box office upon arrival.

This is a:

New Membership

Membership Plan

Museum Membership ($57) - for two adults and up to four children

Additional Packages

Adopt-a-Bird of Prey

Conservationist ($200)
Protector ($100)
Enthusiast ($50)

Reclamation Project Membership Package ($45)
Smithsonian Affiliate Membership Package ($15)

Smithsonian Magazine (12 issues)
OR
Air & Space Magazine (6 issues)

General Information

Adult 1:
Adult 2:
Adult 3:
*One additional adult can be added onto any of the Membership levels, except for the Individual Membership level, for an additional $20.
Children's Names & Birthdates:





** Up to four additional children can be added onto any of the Membership levels, except for the Individual Membership level, for an additional $5 each.
Address Line1:
Address Line2:
City:
State:
Zip Code:
Phone #:
E-Mail:

Payment Information

Promo Code:
Credit Card Type:
Name on Credit Card:
Credit Card #:
Expiration Date:

Gift Membership Message

Message sent with gift membership:

Copyright © 2014 Patricia and Phillip Frost Museum of Science