Membership Form

Please choose the type of membership you are interested in purchasing, then fill out your information as the purchaser.

If this is a membership for you (not a gift), please add the name of the second adult on your membership, if applicable.

If you are purchasing a gift membership, in the gift membership delivery section you will be able to choose whether you want the gift membership voucher sent to you or directly to your gift recipient. If you would like us to send the gift membership directly to your recipient, you will need to fill out their contact information.

If you are interested in purchasing a membership for a library or corporation, please click on "Company User" in the corner.

Membership:

2 Star Membership

6 Star Membership

8 Star Membership

12 Star Membership

Library Membership

Your Information as the Purchaser:

First Name Last Name: Home Address: City: State: Zip Code: - Home Phone: Email:

Fill out the section below if the membership is for you!

2nd Adult Member First Name: (applicable if the membership is for you) 2nd Adult Member Last Name (applicable if the membership is for you) Name as it should appear on your membership card (ie. Avery Family) (applicable if the membership is for you) How did you hear about us?

Please allow 2-3 weeks for your membership to be processed. If your gift membership needs to be processed earlier than that, please email Luke at l.harding@sscnh.org.

Gift Membership Delivery Options:

Please choose whether you would like the gift membership voucher sent to you or directly to your gift recipient. If we are sending the voucher to you, you don't need to fill out the recipient's information. Your recipient can activate their gift membership voucher by sending it to Seacoast Science Center in the enclosed envelope or presenting it at the front desk during their first visit. Memberships are valid for one year upon activation.