MAC - New Member Form

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Thank you for your interest in joining the Midlands Astronomy Club! Please provide the following information below.

Basic Information

First Name *

Last Name *

Address *

City *

State *

Zip *

Email Address *

Phone Number(s)

Membership Level *

Individual $25.00 / year

Family $35.00 / year

Student $10.00 / year

Payment Method *

I will pay in person at a meeting.

I will be mailing a check (make payable to Midlands Astronomy Club).

I will pay online via PayPal.

If joining as a Family, please include the names of your additional family members and their relation to you:

Please tell us how you learned about the Midlands Astronomy Club:

Thank you for joining the Midlands Astronomy Club! You should receive an email from one of our club officers soon. In the meantime if you have any questions, please email us at macinfo@midlandsastronomyclub.org.

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