Antelope Valley
Astronomy Club, Inc
Member Application
A Federal 501(c)(3) Non-Profit Organization
If you are renewing your membership, enter your member number
and last name
to
If you don't know your member number, or you are a new member, select an "Application Type" and fill out the form below.
Application type:
New Member
Renewal
Date
May 09, 2008
Membership Year:
2008
First Name *
Last Name *
Mailing Address *
City *
State *
Zip *
Home Phone *
Other Phone
Family Members
First names only
(unless last name is different)
Please separate each name with a comma
E-mail Address
The information above is not published nor made available to anyone except Club officers
Joining the AVAC includes Astronomical League (AL) membership.
Membership Level:
Family - $30/yr *
Individual - $25/yr *
Junior - $15/yr *
* Dues are prorated, the rates shown are for the full calendar year. Your actual dues amount will be calculated based on the month you join and shown on the next page.
Additional Information (optional):
How did you hear about the club?
------
Website
Member
Friend
Television
Newspaper
Radio
Other
How long have you been interested in astronomy?
List name, location, and dates of past astronomy club memberships.
What types of equipment do you own/use?
Check all that apply.
None
Binoculars
Telescope
Other
What are your interests in astronomy?
Check all that apply.
Beginner Group
Messier Group
Youth Group
Advanced Group
Solar
Lunar
Constellations
Planets
Deep-Sky
Astrophotography
Telescope Making
Other
Would you like to help with club projects or activities?
Yes
No
Tell us what activities would interest you, or send any other comments.
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