Membership form pageThank you for your interest in becoming a Fiske Space Buff!Just fill out the form below to start receiving membership benefits. You must have JavaScript enabled to use this form.Indicates required field Membership New Membership Renewal MembershipAnnual Membership Type Student - $15 Individual - $30 Dual - $45 Family - $60 Extended Family - $75Discount Active Military or Veteran - $10 off membership Senior (65+) - $10 off membership NoneActive military, veterans, or seniors (65+) receive a $10 discount on all memberships (with valid ID). If more than one applies, select one or the other in order to receive a $10 discount.Primary Member's NamePrimary Member's First NamePrimary Member's Last NameSecondary Member's NameSecondary Member's First NameSecondary Member's Last NameSecondary name for Dual, Family and Extended Family memberships.Primary Member's Email AddressAddressAddressAddress 2City/TownState/Province- None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonZIP/Postal CodePhone numberGift Membership Yes, this is a gift membership. No, this is not a gift membership.Only fill out these fields if you're purchasing a gift membership. Otherwise, just click Submit.Gift Giver's NameGift Giver's First NameGift Giver's Last NameOnly fill out this field if this is a gift membership.Gift Giver's Email AddressOnly fill out this field if this is a gift membership.Gift Giver's AddressGift Giver's AddressAddress 2City/TownState/Province- None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonZIP/Postal Code
