Sci-Port Annual Pass Form
Thank you for supporting Sci-Port! You can pay via credit card by entering your card information below or pay via check by mailing your check to Sci-Port.
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Add an additional family member? (Memberships are for a family of five)
If yes, how many additional family members? Additions are $25 per family member.
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Membership Information
Your name
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Phone number
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E-mail
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Mailing Address
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City
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State
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Zipcode
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Preferred Contact Method
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Payment
Please note that this form does not automatically process payment. Please allow 5-7 days for processing.
Pay by Check: Mail check to ATTN: Membership Sci-Port 820 Clyde Fant Pkwy, Shreveport LA 71101 or pay by credit card (below)
Credit Card *Please note this does not automatically charge your card. Processing may take up to 3-5 business days.
Card Number
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Expiration Date
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Security Code
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In addition to my membership(s), I would like to make a tax-deductible contribution of....
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Is this annual pass a gift?
If gift, recipient's name
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Recipient's Mailing Address
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City
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State
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Zipcode
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If gift, where should the membership be sent?
For more information, call 318.424.3466 or e-mail memberships@sciport.org
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