Builk Ticket Request

Group Ticket Order Form

There are errors in your form submission:

Enter organization name.
Enter contact person.
Enter the address.
Enter the city.
Enter the state.
Enter the zip code.
Enter the email address.
Enter the phone number.
Enter date and time of visit.

Groups of 15 or more qualify for 15 percent off admission, when the group registers in advance and purchases all tickets with one payment. A 25 percent discount is available for 50 or more tickets purchased in advance. Tickets will expire one year from the date of issuance.

Required Fields *

Group Information

Organization: *
Contact person: *
Address: *
Address 2:
City: * State: * Zip: *
E-mail: *
Telephone: * Cell phone:
Date and Time of Visit: *

Groups of 15 or more paying visitors - 15 percent discount

Type	#	Price	Cost
Adults (ages 13-61)		x $11.01 =	$
Youth (ages 3-12)		x $9.31 =	$
Senior (ages 62+)		x $10.16 =	$
Total			$

Groups of 50 or more paying visitors - 25 percent discount

Type	#	Price	Cost
Adults (ages 13-61)		x $9.71 =	$
Youth (ages 3-12)		x $8.22 =	$
Senior (ages 62+)		x $8.96 =	$
Total			$

Sales tax will be added at time of purchase.

Please note any questions, special needs, or interests in this space:

Please note this is NOT a confirmation but a request. Do not send payment before receiving confirmation from the Aquarium. If you would like to speak with a Group Reservation representative, please call 252.247.4003 ext. 225. Thank you!