Membership Form

This form is for people who would like to join or renew membership in Fermilab Friends for Science Education. If you would like to donate to FFSE, but not become a member, please go to the Donation Form. If you are a teacher and would like a joint membership in ISTA and FFSE, use the ISTA/FFSE Form.

This form functions like a conventional online shopping cart. You add items to the cart with the "Add to Cart" button and may confirm what is in your cart with the "View Cart" button. To add more items when viewing the cart, click "Continue Shopping." You can choose to contribute to any or all of the options. There are three possible items available to put in the cart. You will be directed further to complete the transaction as you check out.

• Your membership payment
• An additional contribution to the scholarship fund
• The purchase of a leaf for the Tree of Knowledge

Use tabs to go between text boxes; the keystrokes,"Return" and "Enter," have been disabled to avoid submitting the form prematurely. If you have questions about the membership form, please contact ffse-fund@fnal.gov.

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Membership Payment

Membership Type Director's Club - $1,000.00 Patron - $500.00 Sponsor - $250.00 Dual - $100.00 Regular - $50.00 Teacher - $10.00 Name: Partner's Name: (optional) Phone Matching Fund No Yes    If yes, Employer    Partner's Employer

Additional Contribution to Scholarship Fund

I include an additional donation for the scholarship fund that provides scholarships to: Schools to cover the cost of bus transportation to Fermilab for field trips (average cost $100). Teachers to cover costs of workshops (average cost $200). Families to cover cost of science adventures (average cost $50).
Donation Level	Level 6: $200.00 Level 5: $150.00 Level 4: $100.00 Level 3: $50.00 Level 2: $25.00 Level 1: $10.00

Tree of Knowledge

In addition to your membership, you may want to consider buying a leaf of the Tree of Knowledge. The Tree of Knowledge is an unusual opportunity to perpetuate your name or a name designated by you, or as a memorial to a special event, honor or personal or family happening. The name or event will be engraved on one of the tree's leaves with your gift of $1,000. At the same time, your important contribution will help sustain the Lederman Science Center and its programs. Please provide the inscription you want on the plaque.

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