To renew your membership, please complete the information below.
Fill in all the following fields in the form 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 only use this form if you are renewing your membership.

Type of Membership*

Renewal
Gift renewal membership
      (a complete membership packet will be mailed to the recipient)

Please enroll me (or my gift recipient) in one the following membership categories 

Choose Membership:  Select One Year or Two Years One Year Renewal Two Year Renewal <----------------

If this is a gift, sender's information:

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Members Information

First Adult

Title*

Mr. Mrs. Ms.

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Last Name*

Second Adult

(Not applicable for Individual Memberships)

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Mr. Mrs. Ms.

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Please include country and area codes with phone numbers

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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 renewing your membership to 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