Houston Astronomical Society

Membership Application Form

Date: ___________________________

Name: ________________________________________________________________________

Associate Name(s): ______________________________________________________________

Address: _______________________________________________________________________

City: _______________________________________

State: __________

Zip: ____________ - ____________

Home Phone no: ________________________________

Work Phone no: ________________________________

Email Address: ________________________________________________

Our monthly newsletter, The Guidestar, is available on our web site at www.astronomyhouston.org.

Membership dues: $________________

Regular:       Full voting member ….. $36/year

Associate:    Full voting member, must have a regular member in the same household ….. $6/year

Student:       Full voting member, must be full time student ….. $12/year
Sustaining:   Full voting member, includes donation to Society ….. $50+ /year

Note:  Annual dues for new members are prorated for the number of months remaining in the current year.  For instance a regular member joining in August would pay for only 5 months or $15.00.

Optional Information:

Areas of particular interest? ________________________________________________________

Do you have a telescope or binoculars (type)? ___________________________________________

How did you hear about us? ________________________________________________________

Optional Magazine Subscriptions (include subscription payment with dues):

Sky & Telescope ....................................  $32.95 – 1 year
Astronomy ..............................................  $34.00 – 1 year, $60.00 – 2 year

Mail this form to:

Houston Astronomical Society

Attn: Treasurer

P. O. Box 20332

Houston TX 77225-0332  

Last updated 8/7/05
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