Welcome to the Science East membership registration system. Please complete the form below and continue to Paypal for payment. Your registration will be verified by Science East staff who will then issue an email confirming receipt of your form and payment. Thank you for choosing Science East!

Member Details

Name (required)

Street address (required)

City (required)

Province/Territory (required)

Postal code (required)

Phone number (required)

Email address (required)

Billing Details

Billing instructions (required)
Bill to same address as "Member Details"
Bill to a different address

Shipping Details

Shipping instructions (required)
Ship to same address as "Member Details"
Ship to same address as "Billing Details"
Ship to a different address
Hold membership for pickup - (Note: Memberships not picked up within 2 weeks will be mailed out to the billing address above)

Membership Details

Desired membership type (required)
Family Membership - $72.00 + tax (Two adults plus children)
Grandparent Membership - $72.00 + tax (Two grandparents plus grandchildren)
Couples Membership - $54.00 + tax
Individual Membership - $31.50 + tax
Student Membership - $22.50 + tax

Names of all adults to be listed on your card, separated by commas (required)

Is this a new membership or a renewal? (required)
New membership
Renewal

Review and Submit

Please look over the information above and make sure it is correct.

To complete your registration, click the Submit button. You will be directed to PayPal to proceed with your payment.