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Cincinnati Astronomical Society
Membership Application

 

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 Date of Application     Required Items *
Membership:* Indicate New [] or Renewal []
First Name:* Last Name:*
Names of Family Members:
Address:*
City:* State:* Zip:* Country:*
Phone:* E-Mail:*
How did you learn of CAS?:

ANNUAL MEMBERSHIP DUES:* (October 1 through September 30) (Full / Second Year Prorated for 8 months.).
[] Life ($450)
[] Family ($45 / $30) -- one or two adults and children under eighteen residing in the same household.
Name of Adult(s):
Please list children's names here:
[] Individual ($40 / $26.67) -- adult individual membership, 18 and over.
[] Junior ($15 / $10) -- under 18, Please fill in Names of Family Members above.
[] Student ($20 / $13.33) -- Proof of College Enrollment Required.
DUES: $
SUBSCRIPTIONS:   Discounted for CAS Members
Sky & Telescope Magazine [] 12 months for $32.95. Indicate new [] or renewal []
Astronomy Magazine [] 12 months for $34.
Astronomy Magazine [] 24 months for $60. Indicate new [] or renewal []
Sidereal Messenger (Printed Copy) [] 12 months for $15.  E-Mail edition is free.
Reset Subscriptions:
SUBSCRIPTIONS TOTAL: $
DONATION:
CAS Donation: Please consider making a Tax Deductible Donation to the Society Today!     →
$

TOTAL AMOUNT ENCLOSED FOR DUES, SUBSCRIPTIONS, & DONATION: $

Do You Want Your Address & Telephone Number Included In the Published CAS Roster?  Yes []  No []

What are your primary intrests?:
Observing the sky NASA and other space programs
Astronomy in Scouting - Boys and Girls Astrophotograpy
Education / Learning about astronomy General / Other / Not Sure
Solution Graphics
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