Membership Form

By joining the Institute, you enjoy many perks, including unlimited admission to the Institute, free or discounted admission to nearly 300 other museums participating in the ASTC reciprocal program, discounts on planetarium shows, lectures, classes, camps, food and beverage, merchandise in the store, invitations to special events and much more.

Purchaser First Name: *

Purchaser Last Name: *

Purchaser Title: *

Purchaser Home Phone: *

Purchaser Work Phone: *

Purchaser Cell Phone:

Purchaser Address 1: *

Purchaser Address 2:

Purchaser City: *

Purchaser State: *

Purchaser Zip Code: *

Purchaser Country:

Purchaser E-Mail: *

Name on Card 1: *

Name on Card 2: *

Membership ID, if renewing:

Membership Option: * - Select -New MembershipGift MembershipRenewing Membership

Membership Type: * - Select -Back Stage Pass (1-year): $350.00All Access Pass (1-year): $250.00Galactic Pass (1-year): $125.00Friends Membership (1-year): $85.00Family Membership (1-year): $65.00Grandparent Membership (1-year): $60.00Individual Membership (1-year): $50.00Senior Membership (1-year): $45.00Backstage Pass (2-year): $600.00All Access Pass (2-year): $450.00Galactic Pass (2-year): $225.00Friends Membership (2-year): $150.00Family Membership (2-year): $120.00Grandparent Membership (2-year): $110.00Individual Membership (2-year): $90.00Senior Membership (2-year): $80.00

If Gift Membership, please issue:

Redeemable Gift Certificate Shipped to Purchaser Address

Redeemable Gift Certificate Shipped to Recipient Address

Membership Cards Shipped to Purchaser Address

Membership Cards Shipped to Recipient Address

Recipient Name:

Recipient Phone:

Recipient Address 1:

Recipient Address 2:

Recipient City:

Recipient State:

Recipient Zip Code:

Recipient Country:

Recipient Email: