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Southern Cross Astronomical
Society Inc.
Miami, Florida
Website Membership Application Form
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1. Membership Information
Name: _______________________________________
Address: _____________________________________
City/State: ____________________________________
Zip: _____________
Phone: ________________
E Mail: _______________________________________
*Family Members
*Please list only family members who wish to be members of SCAS and
live at the above address.
Name / Relationship:
_____________________/____________
_____________________/____________
_____________________/____________
_____________________/____________
2. A Few Questions...
Occupation (You/Spouse): _____________________/____________________
School, major (if full time student): ___________________________/__________________
Do you own a telescope? (Type/Make/Size): __________/_________________/________
Would you like to help with Public Viewing & Events? YES / NO
(Please circle one)
3. Annual dues($25.00): Make check payable to (Southern Cross Astronomical
Society Inc.)
Full time student
rate: $10.00
Family/Individual rate:
$25.00
Member Magazines
Subscription Rates: (Circle your
choice)
Astronomy Magazine: $29.00 Per year / $55.00 Two years
Sky And Telescope: $32.95 Per Year
Total Enclosed: $ _____________ |
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