Catskills Astronomy Club
P.O. Box 252
Lake Huntington, NY 12752
www.catskillsastro.org
Membership Application
Date of Application:
____________________________________________
Name:
____________________________________________
Address:
____________________________________________
City:
_______________________State: _____ Zip:_________
Phone:
____________________________________________
Email:
____________________________________________
Type of Membership
Valid for one year from date of processing
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New Individual......................................................................................................................$28.50
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New Family (all with same mailing address).......................................................................$33.50
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Renewal Individual...............................................................................................................$23.50
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Renewal Family.....................................................................................................................$28.50
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Sustaining Membership.....................................................................................................$200.00
If family membership, name of participants:___________________________________
___________________________________
_______________________________
Any time, money or material gift you can donate is of great help and is deeply appreciated.
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I’d like to volunteer, please contact me
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I’d like to donate the following amount: __$10 __$25 __$50 __Other Amount $______
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I’d like to donate item(s):_______________________________
Your participation in the Catskills Astronomy Club is greatly appreciated!
Please make checks payable to Catskills Astronomy Club and mail to the address above.