expERIEnce Children's Museum

expERIEnce Children's Museum

Membership Application Annual Membership Categories (check one)

ACM & ECM Reciprocal Membership $120.00 - Free admission for 2 adults sharing a household and their dependent children living at home + 5 guest admissions per year + Free admission to all ACM reciprocal museums.
Family Plus Membership  $55.00 ~ Free admission for 2 adults sharing a household and their dependent children living at home, plus 5 guest admissions per year.
Family Membership $50.00 ~ Free admission for 2 adults sharing a household and their dependent children living at home.
Single One Plus $45.00 ~ Free admission for 1 adult and his or her dependent children, plus 5 guest admissions per year.
One Plus $40.00 ~ Free admission for 1 adult and one guest per visit.
Grandparent Plus $50.00 ~ Free admission for 2 adults sharing a household and their grandchildren, plus 5 guest admissions per year.
Grandparent $45.00 ~ Free admission for 2 adults sharing a household and their grandchildren.
Single Grandparent $40.00 ~ Free admission for 1 grandparent and his or her grandchildren, plus 5 guest admissions per year.

 Adult's  Name:

 

Adult's  Name:

 

Child's Name:

 

 Birth Date:

Child's Name:

 

 Birth Date:

Child's Name:

 

 Birth Date:

Child's Name:

 

 Birth Date:

Address:

 

City, State, 
Zip code:

 

Phone Number:

 

E-mail Address:

 

Special Comments:

 
This is a Gift Membership

Total

$

Method of Payment   Check Number    Visa Master Card Discover
Number # Expiration Date  
Name on Card      Code on back of card


     

OR YOU CAN

expERIEnce Children's Museum 420 French Street  Erie, PA 16507 (814) 453-3743 (phone), (814) 459-9735 (fax),    junep@eriechildrensmuseum.org
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