|
Yes, sign me up for another year of fun and learning!
Being 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! See your personnel office for details.
Please complete the information below and hit the Submit button. Your information will be reviewed by us and your credit card will be billed automatically. (*) Denotes required fields. To expedite your purchase, please use this form only if you are renewing your membership.
|
NOW YOU HAVE MORE OPTIONS*
Compare membership choices in our Summary of Benefits chart (pdf)
|
| |
|
|
Family
|
|
|
Senior
|
|
|
Individual
|
|
| |
Member's Information
|
| |
|
|
| |
First Adult
|
(Adults must be 62+ for Senior Memberships)
|
| |
Title*
|
Mr. Mrs. Ms.
|
| |
First Name*
|
|
| |
Last Name*
|
|
| |
Second Adult
|
(Not applicable for Individual Memberships)
|
| |
Title
|
Mr. Mrs. Ms.
|
| |
First Name
|
|
|
|
Last Name
|
|
| |
Number of family members in household*
|
|
Member’s Contact Information
|
| |
|
| |
Mailing Address*
|
|
| |
City*
|
|
| |
State/Province*
|
|
| |
Country
|
|
| |
ZIP/Postal Code*
|
|
| |
|
| |
|
|
|
| |
Daytime Phone
|
|
Please include country
and area codes with
phone numbers
|
| |
Evening Phone
|
|
| |
E-Mail*
|
|
| |
For Partner Premium Members Only
|
| |
|
| |
Employer
|
|
| |
|
| |
$
|
Additional Donation
|
| |
$
|
ORDER TOTAL
|
| |
Cardholder Information
|
| |
|
|
| |
Please charge to*
|
Mastercard Visa American Express
|
| |
First Name*
|
|
| |
Last Name*
|
|
| |
Account Number*
|
|
| |
Expiration Date*
|
|
| |
Card Code*
|
What is this?
|
| |
Thank you for renewing your membership to the New York Hall of Science!
Processing of membership applications can take 2 – 3 weeks. If you prefer, you can download and print this form (pdf), and:
Bring the completed form to the 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
|