Odyssey Maritime
Discovery Center
General Membership Registration Form
Member Name(s): New____ Renewal ____
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Address
___________________________________________________________________________
City
State
Zip
___________________________________________________________________________
Day
Phone
Evening Phone
___________________________________________________________________________
E-mail Address
May we send you occasional information on special events
via e-mail? Yes ____ No ____
Type of Membership ____________________________ Quantity _________
Total Amount _______________________________
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____ My check made payable to Odyssey is enclosed.
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____ Please charge
my
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___________________________________________________________________________
Card
Number
Expiration Date
___________________________________________________________________________
Name as it appears on card
___________________________________________________________________________
Signature
Print out and send completed registration form to:
Odyssey Maritime Discovery Center
2205 Alaskan Way, Pier 66
Seattle, WA 98121
Odyssey is a 501(c)3 non-profit organization.
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