WonderLab Museum of Science, Health and Technology

Gift Membership Application

Express mail is not available.

Gift certificates will be processed and mailed within 7-10 business days.

Memberships are non-refundable.

NOTE: After completion of this form you will need to click on the continue to PayPal link to complete your transaction. You do not need a PayPal account to purchase a membership, just click on the Don't Have a PayPal Account? option on the landing page and enter your credit card information. This method of payment is completely secure!

Title

First Name *

Last Name *

For street address, city, state, and zip code please provide your desired shipping address.

Street Address *

Apt. #

City *

State *

Zip Code *

Phone Number *

Email Address *

WonderLab does not share your email or phone number with any other businesses or organizations.

Are you a member? *

Yes

No

What is your member number?

Would you prefer to send a gift certificate, which the recipient can choose when to redeem and have a membership that lasts a year after redemption,
OR would you prefer to have actual membership cards, which means the membership starts the week this is submitted and in which case you must provide full family and relationships information of the recipient?

Which are you purchasing: *

Gift Certificate

Membership Cards

Where would you like the above sent: *

Send to me

Send to recipient

I would like the following type of membership (Choose one).

Review Membership Options

Basic: up to five family members, additional named add ons allowed

Premier: up to five family members, plus two guests per visit; additional named add ons allowed

Dual: no add ons

Grandparent: for two grandparents and their grandchildren, plus two guests per visit

*

Special Instructions: Use this box to indicate the name of the person(s) for whom you are buying a new or renewed membership.

Basic Family--5 people listed ($148)	Basic +1--6 people listed ($176)
Premier Family--5 people listed ($188)	Premier +1--6 people listed ($216)
Grandparent ($168)	Dual ($85.00)