How to become an AQUARIUM MEMBER:

Simply complete the form below, and mail it with your payment to the Aquarium.  Then sit back, we'll do the rest!

Please Print:

 Name ________________________________________________________

 Address ______________________________________________________

 City _________________________________________________________

 State ______________________      Zip ______________

 Phone __________________________

Type of Membership (Please Check One):

Family ($45.00) ______  (Number of Children _______)

Grandparent ($40.00) ______     Single Adult ($30.00) ______

Adult Couple ($35.00) ______     Single Senior ($20.00) ______     Senior Couple ($30.00) ______

Sand Dollar ($75.00) _______    Sea Star ($200.00) ______

Please charge to:

            ____ VISA      ____ Mastercard          ____ Discover  ____ American Express

 Account Number _______________________________________

Expiration Date ________________________

Signature _____________________________________________

TOTAL AMOUNT ENCLOSED __________

Make checks payable to: Niagara Aquarium Foundation

Mail to:

Aquarium of Niagara - MEMBERSHIP

701 Whirlpool Street

Niagara Falls, NY  14301-1094