Online Membership Form

 

***ANNUAL MEMBERSHIP SPECIAL***

Purchase a membership between November 23, 2018 and December 31, 2018 and receive 4 extra months for FREE!

That’s right…16 months for the price of 12 !  Also, we allow “early renewals” for current members to take advantage of the 4 extra months!

For more information, please call (856) 424-1233.

 

Buying a Gift Membership for the Holidays? Please call and purchase over the phone for more options…856-424-1233 ext. 0…it’s fast & easy!!!

 

 

 

Step 1: Fill out all fields in our online membership form and press submit.

Step 2: Click on the appropriate membership choice

Step 3: Add item to cart

Step 4: Complete your purchase, process payment.

 

If you do not follow through with all required steps, your membership will not be processed.

 

 

Yes! We want to join The Garden State Discovery Museum!

* denotes a required field

*Membership Categories

Please fill in both adult's first and last names as you wish them to appear on your membership card.

Adult 1

*First Name

*Last Name

Adult 2

*First Name

*Last Name


Contact Information

*Address

*City

*State

*Zip

*Daytime Phone

Evening Phone

*Email


Names and dates of birth of children

*Child 1
*Name:

*Date of Birth: / /

Child 2
Name:

Date of Birth: / /

Child 3
Name:

Date of Birth: / /

Child 4
Name:

Date of Birth: / /

Child 5
Name:

Date of Birth: / /


Gift Membership - Gift Giver Information:

Name

Address

City

State

Zip

Daytime Phone

Evening Phone

Email