Get Involved at the National Aviary

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Is this a new application or a renewal:* New Membership Renewal
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Senior	$40	Individual	$50
Individual +	$65	Family/Household	$85
Family +	$105	Family Deluxe	$135
Aviary/Children Museum	$164

BILLING INFORMATION
First Name:*		MI:
Last Name:*
No. of Children under 18:*	[If Family membership and levels above]
Second Name on Card:
Address 1:*
Address 2:
City:*
State:*		Zip:*
Home Phone:*
Daytime Phone:
Email:*

THIS IS A GIFT FOR: (Recipient Information)
First Name:		MI:
Last Name:
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Address 2:
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Message:
Please mail gift to:	Me Recipient

PAYMENT INFORMATION
Membership:	$
Additional gift to the Aviary:	$
Add $15 for each child Family Membership for more than 4 children:	$
Total:	$
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Expiration Date:*
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ABOUT SSL CERTIFICATES

Your donation and other contributions are tax deductible to the extent of the law. The official registration and financial information of the National Aviary in Pittsburgh, Inc. may be obtained from the Pennsylvania Department of State by calling toll-free, within Pennsylvania, 1-800-732-0999. Registration does not imply endorsement.

	The National Aviary is supported in part through membership, donations, and funding from the Pennsylvania Historical and Museum Commission and the Allegheny Regional Asset District. © 2009 National Aviary in Pittsburgh