Choose Your Team
Event Planning
Fill out the form for me
 Discovery After Dark: Hall of Heroes
Museum of Discovery and Science - Discovery After Dark: Hall of Heroes
Thursday, July 18, 2019 at 5:30 PM
Museum of Discovery and Sciene
401 SW 2nd Street, Fort Lauderdale, FL 33312

Please fill out the form below to complete your registration online.

Your information is safe. Blacktie does not sell or share any information about you or your purchase. In addition, you should see a little padlock in the corner of the screen. This indicates that this site is protected by a Secure Socket Layer and that your credit card information can't be intercepted as you enter it.

Fields with an * are required.
*First Name:
*Last Name:
Title:
Organization:
*Address:
*City:
*State: (ignore for non-US transactions)
*Zip Code:
*Country (if not US):
*Email Address:
*Confirm Email Address:
*Phone:
 
Number of INDIVIDUAL Admission Ticket - at $25.00:

INDIVIDUAL Admission Ticket include:
- Includes one drink ticket, exhibits exploration, and science demonstration from 5:30 PM-8:00 PM. Cash bar. Drinks and lite bites available for purchase. - All attendees must be 21+. IDs checked at the door.
 
Number of MODS Member Reservation - at $20.00:

MODS Member Reservation include:
“MEMBER TICKETS ($20 each) REQUIRES THE PURCHASER TO PROVIDE THEIR MEMBER NUMBER ON THE SECOND PAGE OF THIS EVENT ORDER. The Member Number will be verified. If your membership is not active, your reservation will be cancelled. Please contact the reservations department at 954.713.0930 for help with your determining your membership number if needed. Includes - Includes one drink ticket, exhibits exploration, and science demonstration from 5:30 PM-8:00 PM. Cash bar. Drinks and lite bites available for purchase. - All attendees must be 21+. IDs checked at the door.”
 
If you have a discount or promotional code please enter it here:  
 
Your order total:
*Are you a FOM Member? Yes No
PLEASE PROVIDE YOUR MEMBERSHIP #

Credit Card Billing Address
If the address where you receive the credit card bill is different than above, please enter it here.

Address:
City:
State:
Zip Code:
 
You will be asked to enter your guest names (if any) and answer any questions (if there are any), such as meal choices on the next page.
Credit Card  
For card readers, please put the cursor here:
Card Type:
Credit Card Number:
Credit Card Expiration (mm/yy): /
Name On Card:
C V V Value: What is CVV?
 
Yes, the organization sponsoring this event may contact me.


Refund Policy: Tickets that are purchased for attending a nonprofit event are nonrefundable.

Click here to see our privacy policy
 
Remember Me
If you attend a number of different events that use Blacktie for online registration, this will save your information for future events.
You must enter your email address (above) and choose a password.
Blacktie does not save your credit card information so you will need to re-enter that for each registration.
By checking this box, I want the system to remember me (except for credit card info)

Choose password:

You will receive a confirmation e-mail message with instructions.

By signing up for this service you agree that Blacktie may contact you from time to time.