Greater Seattle Aquarium Society

Membership Form

Date of Application
FirstLastPhone
Address
City State Zip
e-mail address
New or Renewal?
Single $15.00 ____ Family $20.00 ____ Senior (60+)/Junior (-18) $10.00 ____
Would you prefer to get your newsletter by e-mail (color, faster, cheaper!)? _______
How did you hear about us?

Please list your interests and possible meeting topics you would like to see at the bottom of this form.

Please print send this form with payment (checks payable to GSAS) to

Susan Welenofsky
13510 Northcreek Drive, # E405
Mill Creek, WA 98012

Return to Greater Seattle Aquarium Society