MEMBERSHIP APPLICATION - Calendar Year 2010

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MEMBERSHIP LEVELS

Regular $30.00

Student $15.00

Sustaining $40.00

Life $500.00 		Patron $1000.00

Corporate $200.00

Institutional $100.00

CONTRIBUTIONS

FLORIDA ENDOWMENT for Sciences (a Trust Fund for FAS awards, special projects). $
Dr. Elizabeth A. Hays Travel Award Fund $
Academy Operating Funds $
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Print and Mail completed form to:
Florida Academy of Sciences
Orlando Science Center
777 East Princeton Street
Orlando, FL 32803
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