MINNESOTA ASTRONOMICAL SOCIETY MEMBERSHIP APPLICATION
(Please print this page and complete the application)

[  ]  $60 - Patron membership
[  ]  $24 - Regular membership
[  ]  $12 - Student membership

[  ]  $32.95 - Additional fee for optional subscription to Sky and Telescope

[  ]  Do Not Publish (check this box if you do not want to be included in our directory of members)

Patron and Regular memberships include all household family members of the applicant. Student memberships are available only to full-time students and include only the individual applicant. All memberships include a subscription to Gemini, the newsletter of the Minnesota Astronomical Society, and membership in the Astronomical League, including a subscription to their publication, Reflector. A subscription to Sky and Telescope is not included with any membership, but is available to all members at significant savings from the normal subscription rates.

 

Name


Address


City


State Zip
Home Phone


Work Phone  
E-mail Address


Signature


Date

If you wish, please list your astronomical interests and/or equipment if any:
 

 



Checks should be made payable to:
"Minnesota Astronomical Society" or "MAS".

Send to:
Minnesota Astronomical Society
P.O. Box 14931
Minneapolis, MN 55414

Attn: Membership Coordinator

04/04/2006