Apply For Membership - Imaginosity

Membership Application Form

You can apply for membership by:

Filling in the Membership Form below or by downloading and emailing a completed form to This e-mail address is being protected from spambots. You need JavaScript enabled to view it.

On receipt of a completed form we will call you to take credit card payments.

Alternatively, you can pay by cheque or cash by downloading, completing and posting the form to the address below, or by calling into the museum.

Imaginosity,
The Plaza,
Beacon South Quarter,
Sandyford,
Dublin 18,
Republic of Ireland.

***Please read our terms & conditions before signing up for membership***

Name

E-mail

Telephone Number

Address

Membership Category

Choose the category of membership you require

Adult Details

Adult Name 1

Adult Name 2

Child 1 Details

Name

Date Of Birth

Please enter the child's date of birth in the format DD/MM/YYYY

Child 2 Details

Name

Date Of Birth

Child 3 Details

Name

Date Of Birth

Child 4 Details

Name

Date Of Birth

Child 5 Details

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Date Of Birth

Child 6 Details

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Date Of Birth

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