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Members

Virginia Discovery Museum Membership Form

Use this online form to sign up for a ONE YEAR MEMBERSHIP using a credit card.

Selections with red asterisk * are required

A MEMBERSHIP CARD WILL BE MAILED TO YOU IN 7 - 10 BUSINESS DAYS, AND WE ARE
NOT ABLE TO FAX MEMBERSHIP CARDS. BUT YOU CAN USE YOUR MEMBERSHIP TO VISIT
THE VIRGINIA DISCOVERY MUSEUM AS SOON AS WE ENROLL YOU AS A MEMBER. JUST
GIVE YOUR NAME AT THE FRONT DESK.

PLEASE NOTE THAT YOU WILL BE PAYING USING PAYPAL.

A CHARGE FROM PAYPAL, NOT VIRGINIA DISCOVERY MUSEUM, WILL APPEAR

ON YOUR CREDIT CARD STATEMENT

New or Renewing Member?*
I am a:
New Member Renewing Member
Type of Membership*
Explorer Family $125.00
Family $75.00
Grandparent $60.00
Individual (Usually in the name of a child, call with questions) $50.00

Member Information:
Name (Adult #1)*
Name (Adult #2)
Street Address*
Street Address2
City*
State*
Zip*
Telephone (Day*) (Evening)
Email*

Child Information
Child #1
Name
Birth Year
School
Child #2
Name
Birth Year
School
Child #3
Name
Birth Year
School
Child #4
Name
Birth Year
School


 
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