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 Robert Mentzer, Treasurer |
605 River Road |
Wilmington, DE 19809 |
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 |
$20 |
_________ |
Junior Membership (15 or younger) |
$10 |
_________ |
Sky & Telescope - 1 Year |
$33 |
_________ |
Astronomy - 1 Year |
$29 |
_________ |
|
Total enclosed: |
_________ |