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Boston Aquarium Society
MEMBER APPLICATION & RENEWAL FORM

Send completed form with $15 (individual or family) to Tony Pinto, 9B Monastery Road, Brighton, MA 02135.
Please make checks payable to Boston Aquarium Society

Membership benefits include:

• Members of the Society may place items or fish into our monthly auction
• Numerous award programs and prizes
• Hand-on workshops
• Access to the extensive experience of our membership
• And best of all fishy fellowship and fun!

Information:

Date of application or renewal: ____________________________

Name: _________________________________________________________________________

Address: _______________________________________________________________________

City: ____________________________________ State: _________ Zip: _____________

Home Phone: __________________________ Work Phone: __________________________

e-mail: ________________________________________________________________________

Please specify what, if any, information you would like listed in the member's listing area:
___________________________________________________________________________

I might be willing to help with: (check all that apply):

__Programs __Raffle __Bowl Show __Home Show

__Membership __Auction __Show Committee __Photo Contest

__Refreshments __Breeder's Award Program __Field Trips __Aquarist Points

__Publicity __The Daphnian __Library

Do you know anyone who would like to be a member? Give us their name and address and we will send a complimentary copy of The Daphnian and a membership application to them!

Name: _______________________________________________________________________

Address: _____________________________________________________________________

City: ____________________________________ State: __________ Zip: _____________

See you at the meeting on the 3rd Monday of every month in The Exploration Center at The New England Aquarium. If you find that we aren't there, check with the Security Desk at the entrance of The New England Aquarium because they may have had to move the location for that month.