Yes, sign me up! Becoming a member helps the New York Hall of Science and provides you with some excellent benefits. Also, by making the most of your gift through your employer’s matching gift program, you may be entitled to upgrade your membership to a higher level, and provide additional support to the Museum! See your personnel office for details.

Please complete the information below and hit the Submit button. Your information will be sent to us and your credit card will be billed automatically. {*}Denotes required fields.

Type of Membership*

New Membership
Gift (a complete membership packet will be mailed to the recipient)

Membership Options: click here to review Membership Benefits

Choose your Membership:   Select One Year or Two Years One Year Membership Two Year Membersip <----------------

If this is a gift, sender's information:

Gift Sender's
Name

Billing Address

City

State/Province

ZIP/Postal Code

Members Information

First Adult

Title*

Mr. Mrs. Ms.

First Name*

Last Name*

Second Adult

(Not applicable for Individual Memberships)

Title

Mr. Mrs. Ms.

First Name

Last Name

Member’s Contact Information

Mailing Address*

City*

State/Province*

Country

ZIP/Postal Code*

Daytime Phone

Evening Phone

E-Mail*

For Corporate Plus Members Only

Employer

Number of family members in your household

$

 Additional Donation

$

  ORDER TOTAL

Cardholder Information

Please charge to*

Mastercard Visa American Express

First Name*

Last Name*

Account Number*

Expiration Date*

-- 01 January 02 February 03 March 04 April 05 May 06 June 07 July 08 August 09 September 10 October 11 November 12 December -- 2010 2011 2012 2013 2014 2015 2016 2017 ------- More Years Other

Thank you for becoming a member of the New York Hall of Science!
Processing of membership applications can take 2-4 weeks. If you prefer, you can print this page without filling in any of the fields, then write your information on the printed page, and:

Bring the completed form the New York Hall of Science’s Admission’s Desk

Or mail the completed form to:
Membership Department
New York Hall of Science
47-01 111th St.
Corona, NY 11368

Or fax the completed form to: Membership Office at 718.699.1341