Children's Museum of Illinois · Gift Membership Form 2024

Is This Membership a Gift?

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Yes

No

Non-Gift Memberships

Not Purchasing this Membership as a Gift for a different family? You can use this form.

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Gifter (Me)

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First Name

Last Name

Gifter's Phone

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Gifter's Email

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Verify Email

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Where would you like the Membership Card(s) mailed?

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Myself

The Primary Member

Gifter's Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Membership Details

Membership Level (1 year)

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$150 - Family Membership | Two adults and children in the houshold (22)

$175 - Grandparent Membership | One set of Grandparents and all of their grandchildren (33)

$200 - Fun Family Membership | Two adults, children in the household, one caregiver, and all grandparents (44)

Renewing Schedule

Continue Renewing until

(mm/dd/yyyy)

Membership Start Date

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(mm/dd/yyyy)

Number of Children

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Registration Information

Primary Member

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First Name

Last Name

Phone

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Email

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Verify Email

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Address

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Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Spouse (Secondary Member)

First Name

Last Name

Secondary Member Phone

Secondary Member Email

Verify Email

Fun Family Additional Members

Additional Member 1

First Name

Last Name

Additional Member 1 Phone

Additional Member 1 Email

Verify Email

Additional Member 2

First Name

Last Name

Additional Member 2 Phone

Additional Member 2 Email

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Additional Member 3

First Name

Last Name

Additional Member 3 Phone

Additional Member 3 Email

Verify Email

Additional Member 4

First Name

Last Name

Additional Member 4 Phone

Additional Member 4 Email

Verify Email

Notes / Questions / Gift Memo