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Member Registration
Member Information
First Name
Last Name
Company
Affiliation
Email
Mailing Address
City
State/Province
Zip
Mobile Phone
Phone
(other)
Family Members
Person 1
Relationship
Spouse
Son
Daughter
Father
Mother
Brother
Sister
Person 2
Relationship
Spouse
Son
Daughter
Father
Mother
Brother
Sister
Person 3
Relationship
Spouse
Son
Daughter
Father
Mother
Brother
Sister
Person 4
Relationship
Spouse
Son
Daughter
Father
Mother
Brother
Sister
Please list only family who wish to be members of SCAS and live at the above address.
Additional Information
School Name
( if full-time student )
Grade or Class
What telescope(s) do you own?
Want to help at public events?
please select
Yes
No
Availability
please select
Daytime (Solar Events)
Evening
Anytime
Membership
Individual or Family - 1 Year - $25.00
Individual or Family - 2 Year - $45.00
Full-time Student - 1 Year - $10.00
Full-time Student - 2 Year - $18.00
Subscriptions
Astronomical League Membership
Membership - $7.50
No Thanks
Astronomy Magazine
1 Year - $34.00
2 Year - $60.00
No Thanks
Sky & Telescope Magazine
1 Year - $43.90
No Thanks
Comments
500 Character Limit
Total
$0.00
Complete Registration