| |
DELAWARE ASTRONOMICAL SOCIETY (DAS) |
MEMBERSHIP APPLICATION
Please print and fill out the form below and include a check for the amount indicated on the form - made payable to the Delaware Astronomical Society - and send by US mail to:
|
Delaware Astronomical Society |
|
c/o Bill McKibben, Treasurer |
|
27 Mary Jane Lane |
|
Elkton, MD 21921 |
Delaware Astronomical Society Membership Application
|
Name: ___________________________ Telephone: ___________________ |
|
Street or PO Box:_______________________________________________ |
|
City: ______________________ State:_______________ Zip:___________ |
|
Email Address: ________________________________________________ |
|
Do you own Binoculars or a Telescope? _____________________________ |
|
If so what size & type? ___________________________________________ |
|
Please check choices: |
|
|
|
Senior or Family Membership |
$30 |
_________ |
|
Junior Membership (16 or younger) |
$10 |
_________ |
|
Astronomy - 1 Year |
$34 |
_________ |
|
|
Total enclosed: |
_________ |