Genius Gems Membership Application
Your full name (Last Name, First Name):
Your e-mail address:
What is your zip code?
Select Your Membership Package. Basic membership includes one adult and up to two children and is $99 + tax per 30 days. Each additional person is $39 + tax per 30 days.
Basic Membership Only (one adult and up to two children) - $99 + tax per 30 days
Basic Membership + 1 additional person - $138 + tax per 30 days
Basic Membership + 2 additional persons - $177 + tax per 30 days
Basic Membership + 3 additional persons - $216 + tax per 30 days
Basic Membership + 4 additional persons - $255 + tax per 30 days
Name up to 2 adults who are authorized to go in your place with this membership:
Name and age of your child(ren) who will be coming to Genius Gems with this membership pass.
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