DCAS Membership Form

Can be sent by mail or applied for in person at the meetings.

Seniors (over 16 years old) pay a $14.00 per year dues as single members.
Junior (16 and under) pay $12.00 a year
Families pay only $16.00 for membership priviliges to all their children.
Members who bring new members to the club receive 10 free raffle tickets if their guests join.


Type of Membership.............SR. SINGLE........JR. SINGLE.........FAMILY

Membership (Check Price).......$14.00............$12.00...........$16.00


Name:

Street Address:

City / State / Zip:

Phone Number:

Email Address:

Birthday:      Month ______         Day ______          Year ______ (Year is optional)

Family Member Name(s) and Birthday(s) (if you are joining with a family membership):

How did you hear about us?


When this form is completed, Print it out and bring it to our next meeting or mail to:

Delaware County Aquarium Society
PO Box 521
Ridley Park, PA 19078