Membership Registration
Thank you so much for joining us in our mission to provide quality, accessible, and inspiring STEM Education. If you are purchasing multiple memberships, please submit each purchase separately. You may add a donation to any purchase if you would like.
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Memberships
Individual Membership
$
35.00
Family Membership
$
80.00
Family Plus Membership
$
95.00
Silver Membership
$
125.00
Gold Membership
$
250.00
Platinum Membership
$
500.00
Diamond Membership
$
1,000.00
Organizational Membership
$
1,500.00
Donation
Please enter the amount you would like to donate in the box below. $1 minimum.
$
1.00
Amount
Credit Card
Name
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First Name
Last Name
Email
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example@example.com
Phone Number
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Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is this membership a gift for someone?
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Yes
No
Recipient Name
First Name
Last Name
Recipient Email
example@example.com
Recipient Phone Number
Please enter a valid phone number.
Recipient Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Would you like the membership card shipped to you or to the recipient?
Please ship to me
Ship directly to the recipient
Any questions, comments or other info?
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