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Barb Yager, SCAS Sec'y.
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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: $30.00 Per Year Total Enclosed: $ _____________ |