MAC - New Member Form
Thank you for your interest in joining the Midlands Astronomy Club! Please provide the following information below.
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Basic Information
First Name *
Last Name *
Address *
City *
State *
Zip *
Email Address *
Phone Number(s)
Membership Level *
Payment Method *
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
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