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Membership Application
Membership Application
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Email Address
*
Your answer
Street Address (mailing address, for Reflector subscription):
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
Phone
*
Your answer
Membership Type
*
Individual ($20/year)
Family *$25/year):
Student (($15/year)
Senior ($15/year)
Family Membership includes applicant, spouse, and children. List family member's name and relationship to applicant
Your answer
Introduce yourself. Describe your astronomical interests, experience, and any equipment you may have
Your answer
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