Please Touch Museum: Stroller

General Registration:

Individual registration(s)* --------- $30 One Person $60 Two People $90 Three People $120 Four People

Family Stroll (up to 4 people)* --------- $100 One Family Stroll (up to 4 people) $200 Two Family Strolls (up to 8 people)

*Museum admission voucher(s) included with general registration(s)

Member Registration:

Individual registration(s)* --------- $25 One Member $50 Two Members $75 Three Members $100 Four Members

Family Stroll (up to 4 people)* --------- $75 One Member Family Stroll (up to 4 people) $150 Two Member Family Strolls (up to 8 people)

*Museum admission included with membership

Please Touch Museum Member I.D. #

(Located on the front of your membership card)

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Information

First Name *

Last Name *

Address *

City *

State * -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code *

Daytime Phone *

Email Address *

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Billing Information

Is your billing address the same as above? Yes

First Name

Last Name

Address

City

State -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code

Daytime Phone

Email Address

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Please indicate a shirt size for the number of people you have registered:

Youth S

Youth M

Youth L

Adult M

Adult L

Adult XL

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