(Print this form, fill it out, and mail to the address below.)

Auburn Astronomical Society
Membership Application Form
Name:  _________________________________________________________________________

Address:  _______________________________________________________________________

City:  _______________________________________________  State:  ____    Zip:  __________

Phone:  _______________________________________  Date of Application*  _____/_____/_____

E-mail:  _________________________________________________________________________

Telescope(s):  ____________________________________________________________________

_______________________________________________________________________________

Area(s) of special interest:  __________________________________________________________

_______________________________________________________________________________

Enclose: $20.00 for Regular Membership, payable in January. Full-Time Student Membership is half the Regular rate.
* If you're joining after January, refer to the  Prorated Dues Table below:
 
Jan    $20.00
Feb    $18.33 
Mar    $16.66
Apr    $14.99 
May    $13.33
 Jun    $11.66
Jul     $10.00
Aug     $8.33
Sep     $6.66
Oct     $4.99
Nov     $2.33
Dec    $1.66
Make checks payable to:  Auburn Astronomical Society and return this application to:

Auburn Astronomical Society
c/o Mr.  John Zachry, Secretary/Treasurer
501 Summerfield Road
West Point GA 31833

For questions about your dues or membership status, contact jbzachry@mindspring.com

Please consider completing the Vita Questionnaire